Individual provider Active NPI

Christopher Omon Usigbe

  • School Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1043786114
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
1405284498 Issued in NV
Practice address
1311 S Maryland Pkwy
Las Vegas, NV 89104-3309
Phone
(702) 984-9330
NPI assigned
Oct 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 1405284498 NV Primary

Addresses

Primary practice location

1311 S Maryland Pkwy
Las Vegas, NV 89104-3309

Mailing address

1020 Echo Beach Ave
North Las Vegas, NV 89086-1333
Phone (702) 984-9330

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

State licenses

LicenseStateTypeSpecialty
1405284498NVMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Mind Wellness Center Current Accepting new patients

Organizations & group practices 1

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": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1043786114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 ECHO BEACH AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890861333",
            "telephone_number": "702-984-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043309",
            "telephone_number": "702-984-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USIGBE",
        "first_name": "CHRISTOPHER",
        "middle_name": "OMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NV",
            "license": "1405284498",
            "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 Oct 16, 2018; 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.