Individual provider Active NPI

Judith Ramos Alvarez, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1033879770
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
832110 Issued in NV
Practice address
6867 W Charleston Blvd Ste B
Las Vegas, NV 89117-1669
Phone
(702) 396-4165
NPI assigned
Dec 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 832110 NV Primary

Addresses

Primary practice location

6867 W Charleston Blvd Ste B
Las Vegas, NV 89117-1669

Mailing address

301 Soubrette CT
Las Vegas, NV 89145-4101
Phone (406) 214-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211230001919 NV Practitioner - Nurse Practitioner 8325439342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Specialists LLCGroup PAC ID 7214974971, 12 clinicians

Practice addresses (Care Compare)

6867 W Charleston Blvd
Suite 100
Las Vegas, NV 89117-1669
Phone (702) 396-4165

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
40.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Specialists, LLC CurrentSince Nov 28, 2021 Accepting new patients
Valley Primary Care Center LLC PastSince Nov 28, 2021 Accepting new patients

Locations

6867 W Charleston Blvd
Ste 100
Las Vegas, NV 89117
Phone (702) 396-4165

6867 W Charleston Blvd
Ste B
Las Vegas, NV 89117
Phone (702) 266-6150

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1033879770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SOUBRETTE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454101",
            "telephone_number": "406-214-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6867 W CHARLESTON BLVD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171669",
            "telephone_number": "702-396-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JUDITH",
        "middle_name": "RAMOS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.