Active NPI
Michelle Oculam Tio, FNP
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1588062590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0814358
- Practice address
- 3835 S Jones Blvd
Suite 104
Las Vegas, NV 89103-7125 - Phone
- (702) 880-4193
- Fax
- (702) 880-4197
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0814358 | NV | Primary |
Addresses
Primary practice location
3835 S Jones Blvd
Suite 104
Las Vegas, NV 89103-7125
Mailing address
3835 S Jones Blvd
Suite 104
Las Vegas, NV 89103-7125
Phone (702) 880-4193
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)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0814358 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Urgent Care | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1578478673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1588062590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 S JONES BLVD",
"address_2": "SUITE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891037125",
"telephone_number": "702-880-4193",
"fax_number": "702-880-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3835 S JONES BLVD",
"address_2": "SUITE 104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891037125",
"telephone_number": "702-880-4193",
"fax_number": "702-880-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIO",
"first_name": "MICHELLE",
"middle_name": "OCULAM",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "F0814358",
"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 Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.