Annmarie Homer, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN 06122 Issued in NV

Practice address

330 S Valley View Blvd
Las Vegas, NV 89107-4361

Phone

(702) 759-1332

Fax

(702) 759-1464

NPI assigned

Dec 12, 2013

Last updated

Dec 12, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern Nevada Health District

  • Community Health Clinic/Center
  • Las Vegas, NV
  • NPI 1275550212
  NPD (past)

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1619308871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3902",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891273902",
            "telephone_number": "702-759-1332",
            "fax_number": "702-759-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891074361",
            "telephone_number": "702-759-1332",
            "fax_number": "702-759-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "ANNMARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN 06122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homecare America LLC
• Homecare by M&D LLC
• Homecare by M&D LLC
• Homehealth Management and Consultant Agency (DBA Joyahs Home Health)
• Homer C Tuazon LLC (Apollo Medical Group)
• Hometrust Healthcare, LLC
• Hometrust Healthcare, LLC
• Hometrust Healthcare, LLC
• Hometrust Healthcare, LLC
• Hometrust Healthcare, LLC

• Licensed Practical Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.