NPIMap

Organization Active NPI

Vera Whole Health Wa PC

  • Primary Care Clinic/Center
  • Henderson, NV
National Provider Identifier
1639765456
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VERA WHOLE HEALTH WA PC
Practice address
100 N Green Valley Pkwy Ste 235
Henderson, NV 89074-7704
Phone
(725) 333-8036
Fax
(702) 823-0316
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Janell Hansen
Title
Licensing Analyst
Phone
(206) 395-6973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

100 N Green Valley Pkwy Ste 235
Henderson, NV 89074-7704

Mailing address

100 W Towne Ridge Pkwy Ste 200
Sandy, UT 84070-5530
Phone (206) 395-6870

Other names 1

  • The Valley Hlth Care Ctr pwd by VWH-Green Valley Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210510001908 NV Part B Supplier - Clinic/Group Practice 3577985282 Receives reassigned benefits from 1 practitioner
4 other NPIs on this enrollment
Practice locations: Henderson, NV; Las Vegas, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2198464Valley HLTH Care Ctr PWD by VWH-Green Valley, the100 N Green Valley Prkwy Ste 235, Henderson, NV 89074Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Vera Whole Health Wa PC24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

5020 N Nevada Ave
Bldg K
Colorado Springs, CO 80918
Phone (719) 266-3200

9754 Washington St
Thornton, CO 80229
Phone (206) 395-6973

100 N Green Valley Pkwy
Ste 235
Henderson, NV 89074
Phone (702) 754-2200

331 N Buffalo Dr
Ste 120
Las Vegas, NV 89145
Phone (702) 846-1003

4302 S Sugar Rd
Ste 105
Edinburg, TX 78539
Phone (281) 816-5111

6620 Main St
Ste 1225
Houston, TX 77030
Phone (713) 798-2400

6921 Brisbane Ct
Ste 260
Sugar Land, TX 77479
Phone (281) 816-5111

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1639765456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W TOWNE RIDGE PKWY STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705530",
            "telephone_number": "206-395-6870",
            "fax_number": "206-770-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY STE 235",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747704",
            "telephone_number": "725-333-8036",
            "fax_number": "702-823-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERA WHOLE HEALTH WA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "LICENSING ANALYST",
        "authorized_official_telephone_number": "206-395-6973"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Valley Hlth Care Ctr pwd by VWH-Green Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.