Individual provider Active NPI

Lydia Phan Torres, ARNP

  • Acute Care Nurse Practitioner
  • N Las Vegas, NV
National Provider Identifier
1023511151
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
863763 Issued in NV
Practice address
2031 McDaniel St Ste 140
N Las Vegas, NV 89030-6308
Phone
(702) 633-0207
Fax
(702) 633-5099
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 863763 NV Primary
Acute Care Nurse Practitioner 363LA2100X ARNP9312946 FL

Addresses

Primary practice location

2031 McDaniel St Ste 140
N Las Vegas, NV 89030-6308

Mailing address

19558 Timberbluff Dr
Land O Lakes, FL 34638-2588
Phone (772) 333-6108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180430001076 FL Practitioner - Nurse Practitioner 7517221583 Reassigns benefits to 1 organization
I20230720002357 NV Practitioner - Nurse Practitioner 7517221583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.79 of 100Reported as group
Quality
79.17
Promoting interoperability
97
Improvement activities
40
Cost
84.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Gastroenterology Associates Gastroenterology CurrentSince Mar 3, 2018 Accepting new patients
Digestive Associates LLP Gastroenterology CurrentSince Jun 6, 2023 Accepting new patients

Locations

15303 Amberly Dr
Ste A
Tampa, FL 33647
Phone (813) 712-5700

866 Seven Hills Dr
Ste 104
Henderson, NV 89052
Phone (702) 567-5449

840 S Rancho Dr
Ste 4342
Las Vegas, NV 89106

653 N Town Center Dr
Ste 514
Las Vegas, NV 89144
Phone (702) 243-2689

5440 W Sahara Ave
Ste 302
Las Vegas, NV 89146
Phone (702) 633-0254

2031 McDaniel St
Ste 140
North Las Vegas, NV 89030
Phone (702) 642-9029

2031 McDaniel St
Ste 210
North Las Vegas, NV 89030
Phone (702) 642-4091

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCBADA/Endpoint/CCBADA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1023511151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19558 TIMBERBLUFF DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382588",
            "telephone_number": "772-333-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST STE 140",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306308",
            "telephone_number": "702-633-0207",
            "fax_number": "702-633-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "LYDIA",
        "middle_name": "PHAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "863763",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9312946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.