Organization Active NPI

State of Health NV LLC

Doing business as State of Health NV

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1669253720
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
STATE OF HEALTH NV LLC
Doing business as
State of Health NV
Practice address
4588 Paseo del Ray Dr
Las Vegas, NV 89121-5424
Phone
(956) 251-6306
NPI assigned
Oct 13, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Mrs. Rhianna Perez, APRNNPI 1073156550
Title
Owner
Phone
(956) 251-6306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

4588 Paseo del Ray Dr
Las Vegas, NV 89121-5424

Mailing address

4588 Paseo del Ray Dr
Las Vegas, NV 89121-5424
Phone (956) 251-6306

Other names 1

  • State of Health NV Doing business as

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": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1669253720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4588 PASEO DEL RAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215424",
            "telephone_number": "956-251-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 PASEO DEL RAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215424",
            "telephone_number": "956-251-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF HEALTH NV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RHIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-251-6306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State of Health NV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 2023; 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.