Provider Demographics
| NPI: | 1366032864 |
|---|---|
| Name: | NEVADA HEALTH LINE PLUS LTD. |
| Entity Type: | Organization |
| Organization Name: | NEVADA HEALTH LINE PLUS LTD. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | NURSE PRACTITIONER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | BAYINK |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FALTER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | NP-C |
| Authorized Official - Phone: | 775-513-3852 |
| Mailing Address - Street 1: | 7260 W AZURE DR # 140-1014 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LAS VEGAS |
| Mailing Address - State: | NV |
| Mailing Address - Zip Code: | 89130-7999 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 775-513-3852 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5300 SPRING MOUNTAIN RD STE 112 |
| Practice Address - Street 2: | |
| Practice Address - City: | LAS VEGAS |
| Practice Address - State: | NV |
| Practice Address - Zip Code: | 89146-8724 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 702-362-6373 |
| Practice Address - Fax: | 702-362-6420 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-01-19 |
| Last Update Date: | 2023-06-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261QA0006X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Fertility Facility | |
| No | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical | |
| No | 261QF0050X | Ambulatory Health Care Facilities | Clinic/Center | Family Planning, Non-Surgical | |
| No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service | Group - Multi-Specialty |
| No | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | Infusion Therapy | |
| No | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care | |
| No | 261QP3300X | Ambulatory Health Care Facilities | Clinic/Center | Pain | |
| No | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care | |
| No | 332900000X | Suppliers | Non-Pharmacy Dispensing Site | ||
| No | 3336H0001X | Suppliers | Pharmacy | Home Infusion Therapy Pharmacy | |
| No | 335V00000X | Suppliers | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Group - Multi-Specialty | |
| No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
