Individual provider Active NPI

Joel D Hizon, RN

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1891382925
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
834784 Issued in NV
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

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
834784OtherNVNEVADA 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

LicenseStateTypeSpecialty
834784NVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada CVS Pharmacy LLC PastSince Dec 27, 2020 Accepting new patients
Nevada CVS Pharmacy, L.L.C. PastSince Dec 27, 2020 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.

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.

Verify at the official NPI Registry.