Individual provider Active NPI

Thelton Nathan Jr Palmer

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1821893595
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
1640 E Sahara Ave Ste K
Las Vegas, NV 89104-3491
Phone
(702) 483-6302
NPI assigned
Feb 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

1640 E Sahara Ave Ste K
Las Vegas, NV 89104-3491

Mailing address

1640 E Sahara Ave Ste K
Las Vegas, NV 89104-3491
Phone (702) 483-6302

Other practice location 1

1640 E Sahara Ave Ste K
Las Vegas, NV 89104-3491
Phone (702) 483-6302

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

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1821893595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E SAHARA AVE STE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043491",
            "telephone_number": "702-483-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E SAHARA AVE STE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043491",
            "telephone_number": "702-483-6302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 E Sahara Ave Ste K",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891043491",
            "country_code": "US",
            "telephone_number": "702-483-6302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "THELTON",
        "middle_name": "NATHAN JR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "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 Feb 17, 2025; 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.