Active NPI
Theresa Magdalen Blumfelder, M.D.
- Internal Medicine Physician
- Henderson, NV
National Provider Identifier
1992960694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5925
- Practice address
- 2920 N Green Valley Pkwy
Ste. 215
Henderson, NV 89014-0406 - Phone
- (702) 636-6363
- NPI assigned
- Jul 22, 2008
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5925 | NV | Primary |
Addresses
Primary practice location
2920 N Green Valley Pkwy
Ste. 215
Henderson, NV 89014-0406
Mailing address
2920 N Green Valley Pkwy
Ste. 215
Henderson, NV 89014-0406
Phone (702) 636-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5925 | NV | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1992960694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 N GREEN VALLEY PKWY",
"address_2": "STE. 215",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890140406",
"telephone_number": "702-636-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 N GREEN VALLEY PKWY",
"address_2": "STE. 215",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890140406",
"telephone_number": "702-636-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMFELDER",
"first_name": "THERESA",
"middle_name": "MAGDALEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "5925",
"primary": true
}
],
"identifiers": [],
"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 Aug 28, 2008; 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.