North Valley Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

731734754 Issued in NV

Legal business name

NORTH VALLEY MEDICAL SUPPLY INC

Practice address

3053 W. Craig Rd #B
No Las Vegas, NV 89032

Phone

(702) 638-1190

Fax

(702) 638-1542

NPI assigned

Jun 22, 2007

Last updated

Apr 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shelby Lee Richards

Title

Director

Phone

(702) 638-1190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1497951859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W. CRAIG RD #B",
            "city": "NO LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-638-1190",
            "fax_number": "702-638-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W. CRAIG RD #B",
            "city": "NO LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-638-1190",
            "fax_number": "702-638-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-638-1190",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "731734754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507173",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shadi Usefi-Moridani, APN
• Yolanda Mary Vigil, LCSW

• Durable Medical Equipment & Medical Supplies in No. Las Vegas, NV
• Providers in No. Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.