Active NPI
Theresa H McKnight, APNC RNC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1437147600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN00178
- Practice address
- 5410 W Sahara Ave
Las Vegas, NV 89146-3307 - Phone
- (702) 362-2500
- Fax
- (702) 876-6581
- NPI assigned
- Oct 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN00178 | NV | Primary |
Addresses
Primary practice location
5410 W Sahara Ave
Las Vegas, NV 89146-3307
Mailing address
5410 W Sahara Ave
Las Vegas, NV 89146-3307
Phone (702) 362-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100502836 | Other | MEDICAID 31NUMBER | |
| 002412035 | Medicaid | NV | |
| 1437147600 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN00178 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Medical Group (Coats), LTD. | Past | Accepting new patients | |
| Healthcare Partners Medical Group (Coats) LTD. | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1437147600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 W SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463307",
"telephone_number": "702-362-2500",
"fax_number": "702-876-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 W SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463307",
"telephone_number": "702-362-2500",
"fax_number": "702-876-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "THERESA",
"middle_name": "H",
"credential": "APNC RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN00178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID 31NUMBER",
"identifier": "100502836",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002412035",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437147600",
"state": "NV"
}
],
"endpoints": [],
"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 Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.