Individual provider Active NPI

Vitaliy Turbin, CNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1467018309
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
819187 Issued in NV
Practice address
2601 N Tenaya Way
Las Vegas, NV 89128-0427
Phone
(702) 233-4950
Fax
(702) 473-7158
NPI assigned
May 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 819187 NV Primary

Addresses

Primary practice location

2601 N Tenaya Way
Las Vegas, NV 89128-0427

Mailing address

2653 N Moreland Blvd Apt 17
Shaker Heights, OH 44120-1400
Phone (216) 556-1626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20200309000087 NV Practitioner - Nurse Practitioner 3779817390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Satish K Sharma MD PCGroup PAC ID 1355357195, 4 clinicians

Practice addresses (Care Compare)

9029 S Pecos Rd
Suite 2800
Henderson, NV 89074-7199
Phone (702) 739-8323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Satish K Sharma MD PC CurrentSince Oct 7, 2019 Accepting new patients

Locations

9029 S Pecos Rd
Ste 2800
Henderson, NV 89074
Phone (702) 405-3015

3100 W Charleston Blvd
Ste 204
Las Vegas, NV 89102
Phone (702) 380-4242

Organizations & group practices 1

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1467018309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 N MORELAND BLVD APT 17",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441201400",
            "telephone_number": "216-556-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280427",
            "telephone_number": "702-233-4950",
            "fax_number": "702-473-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURBIN",
        "first_name": "VITALIY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "819187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.