Active NPI
Tracey Christine Neuman, APRN
- Nurse Practitioner
- Henderson, NV
National Provider Identifier
1780241778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 820345
- Practice address
- 1505 Wigwam Pkwy Ste 130
Henderson, NV 89074-8195 - Phone
- (702) 856-1400
- Fax
- (702) 856-1401
- NPI assigned
- May 24, 2019
- Last updated
- May 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 820345 | NV | Primary |
Addresses
Primary practice location
1505 Wigwam Pkwy Ste 130
Henderson, NV 89074-8195
Mailing address
400 N Stephanie St Ste 300
Henderson, NV 89014-6692
Phone (702) 952-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 820345 | NV | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1780241778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N STEPHANIE ST STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146692",
"telephone_number": "702-952-3350",
"fax_number": "702-952-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WIGWAM PKWY STE 130",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748195",
"telephone_number": "702-856-1400",
"fax_number": "702-856-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMAN",
"first_name": "TRACEY",
"middle_name": "CHRISTINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "820345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.