Roudette Ferrer

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP136494 Issued in TX

Practice address

2208 S Nellis Blvd Ste 5
Las Vegas, NV 89104-6211

Phone

(702) 475-9000

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Citrine Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1679394019
  Medicare reassignment Authorized official
• Angeles Medical Centers LLC

  • Primary Care Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1609327931

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Kee Essentials

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1316416365
  Medicare reassignment NPD
• Kee Essentials

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1255180246
  NPD
• Kee Essentials

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1609622497
  NPD
• Angeles Medical Centers LLC

  • Family Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1609389394
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1063918985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 S NELLIS BLVD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046211",
            "telephone_number": "702-475-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER",
        "first_name": "ROUDETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136496",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "864307",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP136494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerianne Aguilar Ferrer, FNP-C, MSN
• Jesly Ann Ferrer
• Leilani Ferrer, PMHNP
• Marites Ferrer
• Michelle Ferrer
• Rylan Joseph L Ferrer
• Cynthia A Ferreras, LPN
• Sheyexa L Ferreri Ferreri
• Lyndal Mason Ferreria, PAC
• Nahir Florencia Ferreyra

• Gerontology Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gerontology Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.