Individual provider Active NPI

Virginia C Hardie, MD

  • Pain Medicine (Anesthesiology) Physician
  • Henderson, NV
National Provider Identifier
1831351196
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
18489 Issued in NV
Practice address
1748 W. Horizon Ridge Pkwy.
Henderson, NV 89012-4833
Phone
(702) 982-1300
Fax
(702) 728-5661
NPI assigned
Jun 27, 2008
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25955 NE
Surgery Physician 208600000X 5839 NE
Pain Medicine (Anesthesiology) Physician 207LP2900X 18489 NV Primary

Addresses

Primary practice location

1748 W. Horizon Ridge Pkwy.
Henderson, NV 89012-4833

Mailing address

1748 W. Horizon Ridge Pkwy.
Henderson, NV 89012-4833
Phone (702) 982-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318002066 NV Practitioner - Anesthesiology 7719299007 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18489NVMDPharmacist
25955NEMDAnesthesiology Physician
5839NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fabito Anesthesia & Pain Specialists PC Anesthesiology CurrentSince Mar 1, 2019 Accepting new patients
SHM Management, LLC Pain Medicine Current Accepting new patients

Locations

1000 N Green Valley Pkwy
#440533
Henderson, NV 89074

1748 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 966-2435

2405 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 433-5357

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1831351196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 W. HORIZON RIDGE PKWY.",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124833",
            "telephone_number": "702-982-1300",
            "fax_number": "702-728-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 W. HORIZON RIDGE PKWY.",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124833",
            "telephone_number": "702-982-1300",
            "fax_number": "702-728-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIE",
        "first_name": "VIRGINIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "25955",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "5839",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "18489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.