Individual provider Active NPI

Jesus Antonio Beltran Froylan

  • General Practice Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1083590129
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
891257 Issued in NV
Practice address
7960 Rafael Rivera Way Unit 1447
Las Vegas, NV 89113-5372
Phone
(702) 788-3187
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 891257 NV
Medical-Surgical Registered Nurse 163WM0705X 891257 NV
Ostomy Care Registered Nurse 163WX1500X 891257 NV
General Practice Registered Nurse 163WG0000X 891257 NV Primary

Addresses

Primary practice location

7960 Rafael Rivera Way Unit 1447
Las Vegas, NV 89113-5372

Mailing address

7960 Rafael Rivera Way Unit 1447
Las Vegas, NV 89113-5372

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
891257NVMDOstomy Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1083590129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 RAFAEL RIVERA WAY UNIT 1447",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 RAFAEL RIVERA WAY UNIT 1447",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135372",
            "telephone_number": "702-788-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRAN FROYLAN",
        "first_name": "JESUS",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NV",
            "license": "891257",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NV",
            "license": "891257",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "NV",
            "license": "891257",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NV",
            "license": "891257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 13, 2025; 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.