Active NPI
Joel D Hizon, RN
- Registered Nurse
- Las Vegas, NV
National Provider Identifier
1891382925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 834784
- Practice address
- 2935 S Hollywood Blvd
Las Vegas, NV 89122-3715 - Phone
- (702) 207-2367
- NPI assigned
- Dec 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 834784 | NV | Primary |
Addresses
Primary practice location
2935 S Hollywood Blvd
Las Vegas, NV 89122-3715
Mailing address
3461 Spotted Sandpiper St
Las Vegas, NV 89122-3537
Phone (720) 717-2679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834784 | Other | NV | NEVADA BOARD OF NURSING LICENSE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 834784 | NV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada CVS Pharmacy LLC | Past | Accepting new patients | |
| Nevada CVS Pharmacy, L.L.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Las Vegas, NV
- NPI 1528581865
-
- Pharmacy
- Las Vegas, NV
- NPI 1205076957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1891382925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3461 SPOTTED SANDPIPER ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891223537",
"telephone_number": "720-717-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 S HOLLYWOOD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891223715",
"telephone_number": "702-207-2367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIZON",
"first_name": "JOEL",
"middle_name": "D",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NV",
"license": "834784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA BOARD OF NURSING LICENSE",
"identifier": "834784",
"state": "NV"
}
],
"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 Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.