Active NPI
Tammy Collander
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002035
- Practice address
- 2831 Business Park CT # 130a
Las Vegas, NV 89128-9007 - Phone
- (702) 844-4848
- Fax
- (702) 844-4849
- NPI assigned
- Sep 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN55701 | NV | |
| Family Nurse Practitioner | 363LF0000X | APRN002035 | NV | Primary |
Addresses
Primary practice location
2831 Business Park CT # 130a
Las Vegas, NV 89128-9007
Mailing address
2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950
Other names 1
- Tammy L Molina
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2704 N Tenaya Way
Las Vegas, NV 89128-0424
Phone (702) 579-3253
2716 N Tenaya Way
Las Vegas, NV 89128-0424
Phone (702) 579-3253
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN55701 | NV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Bacchus PC | Current | Accepting new patients | |
| Physicians Medical Center Kaufman, LTD | Past | Accepting new patients | |
| P3 Health Partners Professional Services PC | Past | Accepting new patients |
Locations
100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841
2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950
653 N Town Center Dr
Ste 106
Las Vegas, NV 89144
Phone (702) 363-3000
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810
Interoperability endpoints
- tcollander120867@westdirect.optum.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Family Medicine Physician
- Henderson, NV
- NPI 1134628480
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
-
- Pulmonary Disease Physician
- Las Vegas, NV
- NPI 1952356412
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1356817332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612569600000",
"number": "1952779449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 CORPORATE CIR STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747760",
"telephone_number": "702-910-3950",
"fax_number": "702-352-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 BUSINESS PARK CT # 130A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289007",
"telephone_number": "702-844-4848",
"fax_number": "702-844-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLANDER",
"first_name": "TAMMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2021-02-06",
"certification_date": "2021-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN55701",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "MOLINA",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.