Active NPI
Phyllis A Tellis
- Community Health Worker
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- CHW2-5120
- Practice address
- 3030 N Torrey Pines Dr
Las Vegas, NV 89108-4326 - Phone
- (469) 584-0824
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | PRSS-INT-5262 | NV | |
| Phlebotomy Technician | 246RP1900X | NV | ||
| Other Technician | 247200000X | |||
| Case Management Agency | 251B00000X | |||
| Doula | 374J00000X | 0036 | NV | |
| Doula | 374J00000X | |||
| Community Health Worker | 172V00000X | CHW2-5120 | NV | Primary |
Addresses
Primary practice location
3030 N Torrey Pines Dr
Las Vegas, NV 89108-4326
Mailing address
800 N Rainbow Blvd Ste 218
Las Vegas, NV 89107-1189
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHW2-5120 | NV | MD | Community Health Worker |
| PRSS-INT-5262 | NV | MD | Peer Specialist |
| 0036 | NV | MD | Doula |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Care Wellness Center | Community Health Worker | Current | Accepting new patients |
| Tellus Wellness Connection | Behavior Technician | Current | Accepting new patients |
| Tellus Wellness Connection | Multi-Specialty | Current | Accepting new patients |
Locations
800 N Rainbow Blvd
Ste 218
Las Vegas, NV 89107
Phone (702) 205-0322
2350 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 214-2165
732 S 6th St
Ste 4459
Las Vegas, NV 89101
Phone (469) 584-0824
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1790507028
Behavior Technician
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1043911597
Community Health Worker
-
- Community Psychiatric/Mental Health Clinical Nurse Specialist
- Las Vegas, NV
- NPI 1821979527
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1932347242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N RAINBOW BLVD STE 218",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N TORREY PINES DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891084326",
"telephone_number": "469-584-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLIS",
"first_name": "PHYLLIS",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "NV",
"license": "PRSS-INT-5262",
"primary": false
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NV",
"license": "0036",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NV",
"license": "CHW2-5120",
"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 Aug 7, 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.