NPIMap

Organization Active NPI

Meilan L Daguman Aprn PLLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1023568037
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MEILAN L DAGUMAN APRN PLLC
Practice address
4560 S Eastern Ave Ste 15
Las Vegas, NV 89119-6182
Phone
(702) 994-7267
Fax
(702) 623-5995
NPI assigned
Oct 13, 2016
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Meilan L Daguman, APRNNPI 1083089874
Title
Owner
Phone
(702) 815-6080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Primary Care Nurse Practitioner 363LP2300X NV Primary

Addresses

Primary practice location

4560 S Eastern Ave Ste 15
Las Vegas, NV 89119-6182

Mailing address

7104 Carmen Blvd
Las Vegas, NV 89128-3430
Phone (702) 815-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161215001716 NV Part B Supplier - Clinic/Group Practice 5496035180 Receives reassigned benefits from 8 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4560 S Eastern Ave
Ste 15
Las Vegas, NV 89119
Phone (702) 401-0811

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1023568037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 CARMEN BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283430",
            "telephone_number": "702-815-6350",
            "fax_number": "702-623-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 S EASTERN AVE STE 15",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196182",
            "telephone_number": "702-994-7267",
            "fax_number": "702-623-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEILAN L DAGUMAN APRN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "DAGUMAN",
        "authorized_official_first_name": "MEILAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-815-6080",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.