Amanda Ralph, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

818425 Issued in NV

Practice address

3993 Howard Hughes Pkwy Ste 150
Las Vegas, NV 89169-6745

Phone

(702) 403-8204

NPI assigned

Apr 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Oliveira Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1073177390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 GORDON CREEK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397115",
            "telephone_number": "702-403-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 HOWARD HUGHES PKWY STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891696745",
            "telephone_number": "702-403-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALPH",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "818425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "OLIVEIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn Ralenkotter
• Diana Raley, PRSS
• Erica Raley X
• Priya Kaur Ralh
• Gilty Dela Pena Rallings, PCA
• Randon Ralph, PHARM.D
• Ralphs Grocery Company
• Ralphs Grocery Company
• Chaz Ralphs, OTR/L
• Eileen Ralston

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.