Individual provider Active NPI

Adrienne McIlwain, RN

  • Non-emergency Medical Transport (VAN)
  • North Las Vegas, NV
National Provider Identifier
1083272371
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1406156165 Issued in NV
Practice address
4056 Juanita May Ave
North Las Vegas, NV 89032-8950
Phone
(480) 298-4228
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 98108 NV
Non-emergency Medical Transport (VAN) 343900000X 1406156165 NV Primary

Addresses

Primary practice location

4056 Juanita May Ave
North Las Vegas, NV 89032-8950

Mailing address

4056 Juanita May Ave
North Las Vegas, NV 89032-8950
Phone (480) 298-4228

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
98108NVMDRegistered Nurse
1406156165NVMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1083272371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 JUANITA MAY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328950",
            "telephone_number": "480-298-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 JUANITA MAY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328950",
            "telephone_number": "480-298-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILWAIN",
        "first_name": "ADRIENNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "98108",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NV",
            "license": "1406156165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.