Individual provider Active NPI

Tina Langeraap Martin, P.A.

  • Physician Assistant
  • North Las Vegas, NV
National Provider Identifier
1952494619
Registry record updated Dec 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA851 Issued in NV
Practice address
1312 E Tonopah Ave
North Las Vegas, NV 89030-7111
Phone
(702) 399-4791
Fax
(702) 399-1547
NPI assigned
Oct 2, 2006
Last updated
Dec 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA851 NV Primary

Addresses

Primary practice location

1312 E Tonopah Ave
North Las Vegas, NV 89030-7111

Mailing address

1802 N Carson St
Suite 100
Carson City, NV 89701-1265
Phone (775) 888-6610

Other identifiers 1

IdentifierTypeStateIssuer
PA851OtherNVNV PA LICENSE

Other names 1

  • Christina Langeraap Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA851NVMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261267200000",
    "number": "1952494619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N CARSON ST",
            "address_2": "SUITE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011265",
            "telephone_number": "775-888-6610",
            "fax_number": "775-887-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 E TONOPAH AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307111",
            "telephone_number": "702-399-4791",
            "fax_number": "702-399-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TINA",
        "middle_name": "LANGERAAP",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV PA LICENSE",
            "identifier": "PA851",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "LANGERAAP",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North 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 20, 2009; 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.