Active NPI
Nevada Always Your Doctor LLC.
- Adult Medicine Physician
- Las Vegas, NV
National Provider Identifier
1497432793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- NEVADA ALWAYS YOUR DOCTOR LLC.
- Doing business as
- Nevada Always Your Doctor LLC
Nevada Always Your Doctor LLC. - Practice address
- 4580 S Eastern Ave Ste 29
Las Vegas, NV 89119-6100 - Phone
- (702) 826-0956
- NPI assigned
- Jun 29, 2023
- Last updated
- Jun 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Simporios Montecillo, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (702) 826-0959
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | NU | Primary | |
| Clinic/Center | 261Q00000X | NU |
Addresses
Primary practice location
4580 S Eastern Ave Ste 29
Las Vegas, NV 89119-6100
Mailing address
4580 S Eastern Ave Ste 29
Las Vegas, NV 89119-6100
Phone (702) 826-0956
Other names 2
- Nevada Always Your Doctor LLC
- Nevada Always Your Doctor LLC.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687996800000",
"number": "1497432793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 S EASTERN AVE STE 29",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196100",
"telephone_number": "702-826-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 S EASTERN AVE STE 29",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196100",
"telephone_number": "702-826-0956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVADA ALWAYS YOUR DOCTOR LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "MONTECILLO",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "SIMPORIOS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-826-0959",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nevada Always Your Doctor LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nevada Always Your Doctor LLC.",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.