Individual provider Active NPI

Geraldine Salalac, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1073004701
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002925 Issued in NV
Practice address
2901 N Tenaya Way Ste 210
Las Vegas, NV 89128-1404
Phone
(702) 255-0500
Fax
(702) 821-1704
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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 APRN002925 NV Primary

Addresses

Primary practice location

2901 N Tenaya Way Ste 210
Las Vegas, NV 89128-1404

Mailing address

7022 Cordite Rd
Las Vegas, NV 89178-4020
Phone (702) 423-5212

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
I20200512002346 NV Practitioner - Nurse Practitioner 9133550973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincent P Nalbone M D LTDGroup PAC ID 5698879427, 2 clinicians

Practice addresses (Care Compare)

9111 W Russell Rd
Las Vegas, NV 89148-1245
Phone (702) 312-3333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002925NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent P Nalbone M D LTD CurrentSince Mar 16, 2020 Accepting new patients

Locations

9111 W Russell Rd
Las Vegas, NV 89148
Phone (702) 286-8804

9111 W Russell Rd
Ste A
Las Vegas, NV 89148
Phone (702) 312-3333

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1073004701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7022 CORDITE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784020",
            "telephone_number": "702-423-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N TENAYA WAY STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281404",
            "telephone_number": "702-255-0500",
            "fax_number": "702-821-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALALAC",
        "first_name": "GERALDINE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.