Individual provider Active NPI

Tamaris Samantha Cotta, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1003253881
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002055 Issued in NV
Practice address
9280 W Sunset Rd Ste 400
Las Vegas, NV 89148-4862
Phone
(702) 366-1268
Fax
(702) 366-7079
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN002055 NV Primary

Addresses

Primary practice location

9280 W Sunset Rd Ste 400
Las Vegas, NV 89148-4862

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Other names 1

  • Tamaris Samantha Gunawardena Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214000462 NV Practitioner - Nurse Practitioner 9335440551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1934 E Sahara Ave
Las Vegas, NV 89104-3842
Phone (702) 369-5758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN002055NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Associates of Southern Nevada- Martin, PLLC CurrentSince Oct 19, 2017 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Sep 15, 2016 Accepting new patients
Women's Health Associates of Southern Nevada- Martin, PLLC CurrentSince Oct 19, 2017 Accepting new patients

Locations

5320 S Rainbow Blvd
Ste 282
Las Vegas, NV 89118
Phone (702) 243-0202

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

9120 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 255-2022

8285 W Arby Ave
Ste 380
Las Vegas, NV 89113
Phone (702) 366-1268

9280 W Sunset Rd
Ste 400
Las Vegas, NV 89148
Phone (702) 366-1268

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

1934 E Sahara Ave
Las Vegas, NV 89104
Phone (702) 369-5758

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFFJBD/Endpoint/JFFJBD
  • Direct secure messaging: tamaris.cotta@whasn.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1003253881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484862",
            "telephone_number": "702-366-1268",
            "fax_number": "702-366-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTA",
        "first_name": "TAMARIS",
        "middle_name": "SAMANTHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARIS",
            "last_name": "GUNAWARDENA",
            "middle_name": "SAMANTHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.