Individual provider Active NPI

Ludy SM Llasus, APN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1073709424
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000677 Issued in NV
Practice address
2481 Professional CT
Las Vegas, NV 89128-0832
Phone
(702) 838-0400
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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 APN000677 NV Primary

Addresses

Primary practice location

2481 Professional CT
Las Vegas, NV 89128-0832

Mailing address

2481 Professional CT
Las Vegas, NV 89128-0832
Phone (702) 838-0400

Other identifiers 1

IdentifierTypeStateIssuer
24-02838MedicaidNV

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
I20110620000525 NV Practitioner - Nurse Practitioner 8123206232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maria Pilar Faylona MD PCGroup PAC ID 4587731922, 3 clinicians

Practice addresses (Care Compare)

4212 W Charleston Blvd
Las Vegas, NV 89102-1625
Phone (702) 312-2233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000677NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Pilar Faylona, M.D. PC CurrentSince Apr 26, 2017 Accepting new patients
A Better Option Healthcare Inc PastSince Mar 12, 2018 Accepting new patients
Advanced House Calls Inc PastSince Dec 15, 2003 Accepting new patients

Locations

4212 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 312-2233

Interoperability endpoints

  • Direct secure messaging: lludy@faylonamd.adaptamed.direct-ci.com

Organizations & group practices 3

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1073709424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 PROFESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280832",
            "telephone_number": "702-838-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 PROFESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280832",
            "telephone_number": "702-838-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLASUS",
        "first_name": "LUDY",
        "middle_name": "SM",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24-02838",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.