NPIMap

Organization Active NPI

Hemostasis and Thrombosis Center of Nevada

  • Medical Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1508378977
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
HEMOSTASIS AND THROMBOSIS CENTER OF NEVADA
Practice address
8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113
Phone
(702) 330-0555
Fax
(702) 832-1128
NPI assigned
Oct 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Amber Marie Federizo, APRN
Title
Delegated Official
Phone
(702) 506-8199

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hemodialysis Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0500X
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X
Medical Specialty Clinic/Center 261QM2500X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113

Mailing address

8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629
Phone (702) 330-0555

Other practice location 1

6880 S McCarran Blvd Ste 4
Reno, NV 89509-6129
Phone (702) 960-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180312000238 NV Part B Supplier - Clinic/Group Practice 4688935554 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV; Reno, NV

National Provider Directory

National Provider Directory
Tax ID family
Hemostasis Thrombosis Center of NV Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2403

50 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-4050

Interoperability endpoints

  • Direct secure messaging: amberfederizo@hatcnv.allscriptsdirect.net
  • Direct secure messaging: daisycortes@hatcnv.allscriptsdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1508378977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133629",
            "telephone_number": "702-330-0555",
            "fax_number": "702-832-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-330-0555",
            "fax_number": "702-832-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6880 S McCarran Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895096129",
            "country_code": "US",
            "telephone_number": "702-960-5991",
            "fax_number": "702-832-1128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEMOSTASIS AND THROMBOSIS CENTER OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "FEDERIZO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "702-506-8199",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.