Individual provider Active NPI

Heather Tamburrino, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1386764116
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1390 Issued in NV
Practice address
8053 N Durango Dr Ste 160
Las Vegas, NV 89131-8322
Phone
(702) 960-4486
Fax
(884) 751-3539
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004975 MI
Physician Assistant 363A00000X 53283 CA
Physician Assistant 363A00000X PA1390 NV Primary

Addresses

Primary practice location

8053 N Durango Dr Ste 160
Las Vegas, NV 89131-8322

Mailing address

8053 N Durango Dr Ste 160
Las Vegas, NV 89131-8322
Phone (702) 960-4486

Other identifiers 6

IdentifierTypeStateIssuer
PA1390OtherNVNSBME
CS20630OtherNVNV PHARMACY
1386764116OtherNPI
5601004975OtherMIMICHIGAN LARA
GW483ZOtherNVMEDICARE
PA1390OtherNVSTATE OF NV BOARD OF MEDICAL EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624003210 NM Practitioner - Physician Assistant 0941453146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53283CAMDDentist
5601004975MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Urgent Care Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1386764116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 N DURANGO DR STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318322",
            "telephone_number": "702-960-4486",
            "fax_number": "884-751-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8053 N DURANGO DR STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318322",
            "telephone_number": "702-960-4486",
            "fax_number": "884-751-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURRINO",
        "first_name": "HEATHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004975",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53283",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSBME",
            "identifier": "PA1390",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV PHARMACY",
            "identifier": "CS20630",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386764116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LARA",
            "identifier": "5601004975",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GW483Z",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NV BOARD OF MEDICAL EXAMINERS",
            "identifier": "PA1390",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.