Organization Active NPI

Veterans Administration

  • General Acute Care Hospital
  • Las Vegas, NV
National Provider Identifier
1558453571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2359C Issued in NV
Legal business name
VETERANS ADMINISTRATION
Practice address
5516 Vansville Way
Las Vegas, NV 89130-3601
Phone
(702) 642-4762
NPI assigned
Sep 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marilyn Elaine Juarez
Title
Clinical Social Worker
Phone
(702) 653-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2359C NV Primary

Addresses

Primary practice location

5516 Vansville Way
Las Vegas, NV 89130-3601

Mailing address

5516 Vansville Way
Las Vegas, NV 89130-3601
Phone (702) 642-4762

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558453571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 VANSVILLE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303601",
            "telephone_number": "702-642-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 VANSVILLE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303601",
            "telephone_number": "702-642-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "702-653-3232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NV",
            "license": "2359C",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.