Individual provider Active NPI

Tiffany Marie Hendrix, PA

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1982945416
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1406 Issued in NV
Practice address
8285 W Arby Ave Ste 280
Las Vegas, NV 89113-2246
Phone
(702) 862-8862
Fax
(702) 862-8774
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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 PA1406 NV Primary

Addresses

Primary practice location

8285 W Arby Ave Ste 280
Las Vegas, NV 89113-2246

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Other practice location 1

2580 Saint Rose Pkwy Ste 140
Henderson, NV 89074-7792
Phone (702) 862-8862

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000226 NV Practitioner - Physician Assistant 8325287451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Associates of Southern Nevada- Martin, PLLCGroup PAC ID 4082845664, 111 clinicians

Practice addresses (Care Compare)

8285 W Arby Ave
Suite 280
Las Vegas, NV 89113-2246
Phone (702) 862-8862

9120 W Post Rd
Suite 200
Las Vegas, NV 89148-2427
Phone (702) 870-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Associates of Southern Nevada- Martin, PLLC CurrentSince Jun 11, 2016 Accepting new patients

Locations

2580 Saint Rose Pkwy
Ste 140
Henderson, NV 89074
Phone (702) 862-8862

2821 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 840-1182

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

9120 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 255-2022

8285 W Arby Ave
Ste 280
Las Vegas, NV 89113
Phone (702) 577-1622

10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160

Interoperability endpoints

  • Direct secure messaging: tiffany.hendrix@whasn.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1982945416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 280",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132246",
            "telephone_number": "702-862-8862",
            "fax_number": "702-862-8774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 Saint Rose Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747792",
            "country_code": "US",
            "telephone_number": "702-862-8862",
            "fax_number": "702-862-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.