Individual provider Active NPI

Nancy Sablon Diago, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1063754471
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
001511 Issued in NV
Practice address
10652 S Eastern Ave Ste a
Henderson, NV 89052-4953
Phone
(702) 476-2800
Fax
(702) 476-2040
NPI assigned
Mar 23, 2013
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 700861 NV
Family Nurse Practitioner 363LF0000X 001511 NV Primary

Addresses

Primary practice location

10652 S Eastern Ave Ste a
Henderson, NV 89052-4953

Mailing address

1250 S Clearview Ave Ste 100
Urgent Care Extra
Mesa, AZ 85209-3378
Phone (480) 988-9108

Other practice location 1

421 S Decatur Blvd
Las Vegas, NV 89107-2812
Phone (725) 910-3725

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
I20131104001776 NV Practitioner - Nurse Practitioner 8224263959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

9785 S Maryland Pkwy
Suite A2
Las Vegas, NV 89183-7125
Phone (702) 747-0077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001511NVMDFamily Nurse Practitioner
700861NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primewell Solutions Behavioral Health LLC CurrentSince Apr 9, 2024 Accepting new patients
Primewell Solutions Nurse Practitioner Current Accepting new patients
Primewell Solutions LLC CurrentSince Jun 26, 2024 Accepting new patients
Urgent Care Nevada, LLC CurrentSince May 20, 2015 Accepting new patients
Silver Healthcare Solutions LLC Nurse Practitioner PastSince Jan 1, 2022 Accepting new patients
Kuhl Consulting LV Past Accepting new patients

Locations

10652 S Eastern Ave
Ste A
Henderson, NV 89052
Phone (702) 476-2040

421 S Decatur Blvd
Las Vegas, NV 89107
Phone (702) 462-2325

415 S Decatur Blvd
Las Vegas, NV 89107
Phone (702) 462-2325

9785 S Maryland Pkwy
Ste A2
Las Vegas, NV 89183
Phone (702) 474-0077

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1063754471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CLEARVIEW AVE STE 100",
            "address_2": "URGENT CARE EXTRA",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093378",
            "telephone_number": "480-988-9108",
            "fax_number": "480-813-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10652 S EASTERN AVE STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524953",
            "telephone_number": "702-476-2800",
            "fax_number": "702-476-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 S Decatur Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072812",
            "country_code": "US",
            "telephone_number": "725-910-3725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAGO",
        "first_name": "NANCY",
        "middle_name": "SABLON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "700861",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "001511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.