Julissa Ysabella Moreno Davila

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

7743 Crystal Village LN
Las Vegas, NV 89113-3243

Phone

(702) 265-9899

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1003493446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7743 CRYSTAL VILLAGE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133243",
            "telephone_number": "702-265-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7743 CRYSTAL VILLAGE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133243",
            "telephone_number": "702-265-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO DAVILA",
        "first_name": "JULISSA YSABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Morelli, DC
• Stella Morelock
• Luis A Moreno Blanco
• Thelma Moreno Cerros
• Patricia Moreno Chapelin
• Sindi Patricia Moreno Flores
• Samyra Moreno Garcia
• Maria D. Carmen Moreno Hidalgo-Gato
• Rosario Moreno Landeros
• Diana Moreno Rakes

• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.