Individual provider Active NPI

Conchita French Daban

  • Community Health Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1083202139
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN47637 Issued in NV
Practice address
CVS Pharmacy 9405 W.Russell Rd
Las Vegas, NV 89148-8914
Phone
(702) 553-6439
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC1500X RN47637 NV Primary

Addresses

Primary practice location

CVS Pharmacy 9405 W.Russell Rd
Las Vegas, NV 89148-8914

Mailing address

CVS Pharmacy 9405 W. Russell Rd
Las Vegas, NV 89148
Phone (702) 553-6439

Other practice location 1

10437 Bay Ginger Ln
Las Vegas, NV 89135-4041
Phone (702) 553-6439

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL chitdaban.03@gmail.com Health Information Exchange (HIE)
CONNECT URL chitdaban.03@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN47637NVMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1083202139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CVS PHARMACY 9405 W. RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-553-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CVS PHARMACY 9405 W.RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891488914",
            "telephone_number": "702-553-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10437 Bay Ginger Ln",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891354041",
            "country_code": "US",
            "telephone_number": "702-553-6439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABAN",
        "first_name": "CONCHITA",
        "middle_name": "FRENCH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "NV",
            "license": "RN47637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chitdaban.03@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "CVS Pharmacy 9405 W.Russell Rd",
            "city": "LAS VEGAS",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891488914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chitdaban.03@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "CVS Pharmacy 9405 W.Russell Rd",
            "city": "LAS VEGAS",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891488914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.