Individual provider Active NPI

Tiae Parker-Young

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1922427293
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN37964 Issued in NV
Practice address
1224 Barton Green Dr
Las Vegas, NV 89128-1680
Phone
(702) 541-4167
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN37964 NV Primary

Addresses

Primary practice location

1224 Barton Green Dr
Las Vegas, NV 89128-1680

Mailing address

1224 Barton Green Dr
Las Vegas, NV 89128-1680
Phone (702) 541-4167

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

LicenseStateTypeSpecialty
RN37964NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1922427293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 BARTON GREEN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281680",
            "telephone_number": "702-541-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 BARTON GREEN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281680",
            "telephone_number": "702-541-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-YOUNG",
        "first_name": "TIAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN37964",
            "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 Apr 15, 2014; 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.