NPIMap

Organization Active NPI

Priority Health System LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1679121958
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIORITY HEALTH SYSTEM LLC
Practice address
2655 S Rainbow Blvd Ste 410
Las Vegas, NV 89146-5100
Phone
(702) 222-4339
NPI assigned
Aug 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Edmen Teming
Title
Owner/President
Phone
(702) 468-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2655 S Rainbow Blvd Ste 410
Las Vegas, NV 89146-5100

Mailing address

2655 S Rainbow Blvd Ste 410
Las Vegas, NV 89146-5100
Phone (702) 222-4339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191009002469 NV Part B Supplier - Clinic/Group Practice 7719218544 Receives reassigned benefits from 10 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1679121958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-222-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 S RAINBOW BLVD STE 410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465100",
            "telephone_number": "702-222-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "TEMING",
        "authorized_official_first_name": "EDMEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "702-468-4080"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "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 Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.