Active NPI
Hava G Lavine, APN
- Family Nurse Practitioner
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN001317
- Practice address
- 270 W Lake Mead Pkwy
Henderson, NV 89015-7093 - Phone
- (702) 617-1227
- Fax
- (702) 616-2069
- NPI assigned
- Aug 17, 2011
- 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 | APN001317 | NV | Primary |
Addresses
Primary practice location
270 W Lake Mead Pkwy
Henderson, NV 89015-7093
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 560-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972883320 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Shadow LN
Las Vegas, NV 89106-4119
Phone (954) 939-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN001317 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| Superior Emergency Physicians Harris, PLLC | Current | Accepting new patients | |
| University Emergency Medical Services Inc. | Current | Accepting new patients | |
| Shadow Emergency Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Dr. Terry D. Johnson, P.a. | Past | Accepting new patients |
Locations
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711
275 Northpointe Pkwy
Ste 50
Buffalo, NY 14228
Phone (716) 389-3294
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1184795874
Nurse Practitioner
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1356885222
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
Nurse Practitioner
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Family Medicine Physician
- Moncks Corner, SC
- NPI 1467751495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1972883320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-560-2900",
"fax_number": "702-560-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 W LAKE MEAD PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157093",
"telephone_number": "702-617-1227",
"fax_number": "702-616-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVINE",
"first_name": "HAVA",
"middle_name": "G",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN001317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972883320",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.