NPIMap

Organization Active NPI

Skyline Medical, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1598653222
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
SKYLINE MEDICAL, LLC
Practice address
2610 S Jones Blvd Ste D
Las Vegas, NV 89146-5663
Phone
(702) 591-3055
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Tami V BassNPI 1952682874
Title
Credentialist
Phone
(702) 591-3055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

2610 S Jones Blvd Ste D
Las Vegas, NV 89146-5663

Mailing address

2610 S Jones Blvd Ste D
Las Vegas, NV 89146-5663
Phone (702) 591-3055

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1598653222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 S JONES BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465663",
            "telephone_number": "702-591-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S JONES BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465663",
            "telephone_number": "702-591-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "702-591-3055"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "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 Jun 24, 2025; 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.