Active NPI
Torrie Patrice Clontz, APRN
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1972235638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 856877
- Practice address
- 620 Shadow LN
Las Vegas, NV 89106-4119 - Phone
- (702) 388-4000
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 856877 | NV | Primary |
Addresses
Primary practice location
620 Shadow LN
Las Vegas, NV 89106-4119
Mailing address
9433 Valley Hills Ave
Las Vegas, NV 89134-0152
Phone (562) 665-5770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220909002648 | NV | Practitioner - Nurse Practitioner | 8123403250 | Reassigns benefits to 1 organization |
| I20241018002650 | CA | Practitioner - Nurse Practitioner | 8123403250 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vegas Vein Vixen LLC | Current | Accepting new patients | |
| Circle Medical Care of California | Current | Accepting new patients | |
| Shadow Emergency Physicians PLLC | Current | Accepting new patients | |
| Shadow Emergency Physicians PLLC | Current | Accepting new patients | |
| Allara Medical Group PA | Past | Accepting new patients |
Locations
415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
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.
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1760257349
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1972235638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9433 VALLEY HILLS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891340152",
"telephone_number": "562-665-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SHADOW LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064119",
"telephone_number": "702-388-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLONTZ",
"first_name": "TORRIE",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "856877",
"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 Jun 30, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.