Individual provider Active NPI

Denise Ann Bravo, RN, CCM

  • Case Management Registered Nurse
  • North Las Vegas, NV
National Provider Identifier
1003564188
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN78337 Issued in NV
Practice address
2917 Gnatcatcher Ave
North Las Vegas, NV 89084-3120
Phone
(702) 217-8572
Fax
(877) 211-6856
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN78337 NV Primary

Addresses

Primary practice location

2917 Gnatcatcher Ave
North Las Vegas, NV 89084-3120

Mailing address

2917 Gnatcatcher Ave
North Las Vegas, NV 89084-3120
Phone (702) 217-8572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN78337NVMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1003564188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 GNATCATCHER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843120",
            "telephone_number": "702-217-8572",
            "fax_number": "877-211-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 GNATCATCHER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843120",
            "telephone_number": "702-217-8572",
            "fax_number": "877-211-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "credential": "RN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NV",
            "license": "RN78337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.