Individual provider Active NPI

Ancy Tom, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1669840203
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002012 Issued in NV
Practice address
2725 S Jones Blvd
Ste 104
Las Vegas, NV 89146-5667
Phone
(702) 384-2238
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 002012 NV
Family Nurse Practitioner 363LF0000X APRN002012 NV Primary

Addresses

Primary practice location

2725 S Jones Blvd
Ste 104
Las Vegas, NV 89146-5667

Mailing address

2725 S Jones Blvd Ste 104
Las Vegas, NV 89146-5605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815002894 NV Practitioner - Nurse Practitioner 7012201940 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Associates Professional, LLCGroup PAC ID 3476976499, 5 clinicians
Atomkannoth LLCGroup PAC ID 4183062821, 2 clinicians
Linden and Associates PCGroup PAC ID 4587559968, 4 clinicians
Silver State Health Care Services LLCGroup PAC ID 5698072130, 5 clinicians

Practice addresses (Care Compare)

2725 S Jones Blvd
Suite 104
Las Vegas, NV 89146-5605
Phone (702) 606-3445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002012NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atomkannoth LLC Psychiatric/Mental Health CurrentSince Jan 22, 2024 Accepting new patients
Psychiatric Associates Professional, LLC CurrentSince Jun 1, 2020 Accepting new patients
Silver State Health Care Services, LLC CurrentSince Jun 27, 2016 Accepting new patients
Medical Laboratory Services of Nevada, LLC Current Accepting new patients
Linden & Associates PC Family CurrentSince Jun 6, 2016 Accepting new patients
Psychiatric Management, LLC CurrentSince Apr 24, 2017 Accepting new patients

Locations

2725 S Jones Blvd
Ste 106
Las Vegas, NV 89146
Phone (702) 384-2238

2725 S Jones Blvd
Ste 104
Las Vegas, NV 89146
Phone (702) 384-2238

2725 S Jones Blvd
Ste 103
Las Vegas, NV 89146
Phone (702) 227-6947

4900 Richmond Sq
Ste 102
Oklahoma City, OK 73118
Phone (405) 840-1999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHIDDD/Endpoint/DHIDDD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1669840203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S JONES BLVD",
            "address_2": "STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465667",
            "telephone_number": "702-384-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "ANCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "002012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.