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Anna M Bates

Physician β€’ North Las Vegas, NV

Deactivated NPI 1154609907 Deactivated in NPPES Female Practitioner
Practice location in NPPES

3837 Canary Cedar St
North Las Vegas, NV 890329061

Phone: 7029920576

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of February 07, 2024; the reason is not published. The records below are historical. They do not show whether Anna Bates currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 28, 2011
NPI Deactivation Date February 07, 2024
NPI Active Period 2011 – 2024

Practice Location & Contact Primary Location

Practice Address

3837 Canary Cedar St

North Las Vegas, NV 890329061

Telephone 7029920576
Fax 7029920391
Organization at the Same NPPES Address or Phone
Apple Grove Treatment Center Facility NPI 1215501416

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in North Las Vegas and Nevada

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Foster Care Agency Primary Specialty

NUCC Taxonomy Code: 253J00000X

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated February 07, 2024

NPPES lists this NPI as deactivated as of February 07, 2024; the reason is not published.

βœ…
NPI Profile Active July 28, 2011

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 28, 2011

Registered at 3837 CANARY CEDAR ST, NORTH LAS VEGAS, NV 890329061 (Tel: 7029920576)

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Business Mailing Address (Initial Record) July 28, 2011

Registered at 8620 S EASTERN AVE, #16, LAS VEGAS, NV 891232836 (Tel: 7029920576)

πŸ‘€
Provider Name / Credentials (Initial Record) July 28, 2011

Recorded as ANNA BATES

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2011

Foster Care Agency

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Initial NPI Registration & Enumeration July 28, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154609907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2011
Last Update: July 28, 2011
Deactivation Date: February 07, 2024

Mailing Address

8620 S Eastern Ave, #16

Las Vegas, NV 891232836

Phone: 7029920576

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.