Provenance Healthcare LLC
NPI 1316322738ActiveOrganization· Genetic Counselor, MS· Las Vegas, NV
Genetic Counselor, MS in Las Vegas, Nevada, registered in NPPES in July 2015. The authorized official on file is Mark L. Black, Owner Operator.
Overview
| NPI | 1316322738 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2015 |
| Last updated in NPPES | Jul 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Genetic Counselor, MS Primary | 170300000X | OTHER | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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