Active NPI
Finishline IV Therapy
- Adult Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1376250407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- FINISHLINE IV THERAPY
- Practice address
- 3712 White Plains Dr
Las Vegas, NV 89129-6582 - Phone
- (702) 635-2220
- NPI assigned
- Oct 28, 2022
- Organization subpart
- Yes
- Parent organization
- FINISHLINE IV THERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Boyer
- Title
- Owner
- Phone
- (702) 635-2220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
3712 White Plains Dr
Las Vegas, NV 89129-6582
Mailing address
3712 White Plains Dr
Las Vegas, NV 89129-6582
Phone (702) 635-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841899200 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | jane | Direct |
National Provider Directory
National Provider Directory- Part of
- Finishline IV Therapy
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666915200000",
"number": "1376250407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 WHITE PLAINS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296582",
"telephone_number": "702-635-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 WHITE PLAINS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296582",
"telephone_number": "702-635-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FINISHLINE IV THERAPY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FINISHLINE IV THERAPY",
"enumeration_date": "2022-10-28",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-635-2220"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841899200",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "jane",
"affiliation": "N",
"endpointDescription": "electronic medical record",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3712 White Plains Dr",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891296582",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.