Tina Marie Peters

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3600 Broadway Ave
N Las Vegas, NV 89030-5900

Phone

(775) 338-8680

NPI assigned

Jul 4, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1972280683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890305900",
            "telephone_number": "775-338-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890305900",
            "telephone_number": "775-338-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Lee Pearson Jr.
• Marie Antonette Peralta
• Ana D Perez
• Dolores Perez
• Peter L Gallarello DPM PLLC
• Desiree Petersen
• Louisa Peterson
• Van K Pham, PHARM D.
• Anthony Phan, DMD
• Dawna Thien Phan, D.D.S.

• All providers in N Las Vegas, NV
• Home Health Aide in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.