Organization Active NPI

In Good Health Professional Corporation

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1770163214
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
IN GOOD HEALTH PROFESSIONAL CORPORATION
Practice address
5495 S Rainbow Blvd Ste 202B
Las Vegas, NV 89118-1873
Phone
(702) 522-6108
Fax
(702) 989-4805
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Thomas Sharon, NPNPI 1366852352
Title
Owner
Phone
(702) 522-6108

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

5495 S Rainbow Blvd Ste 202B
Las Vegas, NV 89118-1873

Mailing address

5920 S Rainbow Blvd Ste 5
Las Vegas, NV 89118-4209
Phone (702) 522-6108

Other names 1

  • In Good Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528002322 NV Part B Supplier - Clinic/Group Practice 3577962257 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5495 S Rainbow Blvd
Ste 202B
Las Vegas, NV 89118
Phone (702) 522-6108

2365 Reynolds Ave
Ste 200
North Las Vegas, NV 89030
Phone (702) 916-3537

Practitioners & affiliated clinicians

Practitioners 1

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": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1770163214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 S RAINBOW BLVD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184209",
            "telephone_number": "702-522-6108",
            "fax_number": "702-989-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 S RAINBOW BLVD STE 202B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181873",
            "telephone_number": "702-522-6108",
            "fax_number": "702-989-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN GOOD HEALTH PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "SHARON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-522-6108",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Good Health",
            "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 Aug 31, 2023; 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.