Active NPI
Maryann Wilson
- Neurology Physician
- Henderson, NV
National Provider Identifier
1528832938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- NV20161698807
- Practice address
- 2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841 - Phone
- (801) 717-8487
- NPI assigned
- Nov 7, 2023
- Last updated
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NV20161698807 | NV | Primary |
Addresses
Primary practice location
2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841
Mailing address
2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV20161698807 | NV | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipsum Monitoring LLC | Single Specialty | Current | Accepting new patients |
Locations
2831 Saint Rose Pkwy
Ste 200
Henderson, NV 89052
Phone (702) 355-9024
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1528832938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 SAINT ROSE PKWY STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 SAINT ROSE PKWY STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524841",
"telephone_number": "801-717-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARYANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-07",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "NV20161698807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.