Individual provider Active NPI

Marc Benjamin Ponce Catubay, RN

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1023825577
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
869314 Issued in NV
Practice address
12656 Southern Highlands Pkwy Unit 1135
Las Vegas, NV 89141-3328
Phone
(562) 939-5900
NPI assigned
Dec 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 869314 NV Primary

Addresses

Primary practice location

12656 Southern Highlands Pkwy Unit 1135
Las Vegas, NV 89141-3328

Mailing address

12656 Southern Highlands Pkwy Unit 1135
Las Vegas, NV 89141-3328
Phone (562) 939-5900

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
869314NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1023825577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 SOUTHERN HIGHLANDS PKWY UNIT 1135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413328",
            "telephone_number": "562-939-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656 SOUTHERN HIGHLANDS PKWY UNIT 1135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413328",
            "telephone_number": "562-939-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATUBAY",
        "first_name": "MARC BENJAMIN",
        "middle_name": "PONCE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "869314",
            "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 Dec 17, 2024; 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.