Hailstone Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HAILSTONE FAMILY PRACTICE PLLC

Practice address

9065 S Pecos Rd Ste 190
Henderson, NV 89074-6605

Phone

(725) 485-2080

Fax

(885) 576-5067

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Travis Hailstone, DONPI 1215165238

Title

Owner/Physician

Phone

(725) 485-2080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHBHDD

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Gordon Hailstone, D.O.

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1215165238
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Victoria Bedrock, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1093398190
  Medicare reassignment Care Compare group NPD
• Deokchol Parish, FNP-BC

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1841885142
  Medicare reassignment Care Compare group NPD
• Kailee Kellen

  • Physician Assistant
  • Henderson, NV
  • NPI 1467312744
  NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1437967320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 S PECOS ROAD",
            "address_2": "SUITE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890744539",
            "telephone_number": "725-485-2080",
            "fax_number": "885-576-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 S PECOS RD STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746605",
            "telephone_number": "725-485-2080",
            "fax_number": "885-576-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAILSTONE FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "HAILSTONE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "725-485-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garlin G. Hahn, D.D.S., DDS
• Stephen Paul Hahn, D.D.S.
• Sterling Hahn, DO
• Courtney Haight, PH.D.
• Thomas Haile
• Travis Gordon Hailstone, D.O.
• Edward Thomas Haines, ATC, LAT
• Hairston Nutrition Consulting PLLC
• Michael J Hairston Jr., RDN
• Rachel Elizabeth Hajda, PT, DPT

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.