Individual provider Active NPI

Trina Thompson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1932616190
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12170293 Issued in NV
Practice address
311 N Buffalo Dr Ste a
Las Vegas, NV 89145-0375
Phone
(702) 476-9700
NPI assigned
Jan 9, 2018
Last updated
Jan 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12170293 NV Primary

Addresses

Primary practice location

311 N Buffalo Dr Ste a
Las Vegas, NV 89145-0375

Mailing address

311 N Buffalo Dr Ste a
Las Vegas, NV 89145-0375
Phone (702) 476-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307002387 NV Practitioner - Nurse Practitioner 8426319468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12170293NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tufail & Associates CurrentSince May 1, 2020 Accepting new patients
Mission Point of Las Vegas LLC PastSince Oct 25, 2022 Accepting new patients

Locations

500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

9811 W Charleston Blvd
Ste 2695
Las Vegas, NV 89117

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1932616190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N BUFFALO DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450375",
            "telephone_number": "702-476-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N BUFFALO DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450375",
            "telephone_number": "702-476-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TRINA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "F12170293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.