EVERSIDE HEALTH CA IRONWORKERS LAS VEGAS – NPI #1376329060
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

EVERSIDE HEALTH CA IRONWORKERS LAS VEGAS is a provider located in NORTH LAS VEGAS, NV. NPPES has assigned the NPI number 1376329060 to EVERSIDE HEALTH CA IRONWORKERS LAS VEGAS on September 07, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was last updated on Jul 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERSIDE HEALTH CA IRONWORKERS LAS VEGAS below.

NPI Profile for
EVERSIDE HEALTH CA IRONWORKERS LAS VEGAS

NPI Number
1376329060
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERSIDE HEALTH CA IRONWORKERS LAS VEGAS
Primary location
1815 E LAKE MEAD BLVD STE 210
NORTH LAS VEGAS, NV 89030-7189
Phone: (704) 661-1380 Fax:
Mailing address
PO BOX 1433
PORTSMOUTH, NH 03802-1433
Phone: Fax:
Organization Subpart
No
Authorized Official
KARLA SPIVEY
CENTRAL SUPPORT SPECIALIST
Phone: (317) 869-3164
Updated
Certification Date
Jul 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.