Individual provider Active NPI

Myra Davis-Alston, RN,MSN

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1083889299
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN11028 Issued in NV
Practice address
3880 S Jones Blvd
Las Vegas, NV 89103-2456
Phone
(702) 636-3000
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN11028 NV Primary

Addresses

Primary practice location

3880 S Jones Blvd
Las Vegas, NV 89103-2456

Mailing address

PO Box 360001
North Las Vegas, NV 89036-8108
Phone (702) 636-3000

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN11028NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1083889299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360001",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890368108",
            "telephone_number": "702-636-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032456",
            "telephone_number": "702-636-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-ALSTON",
        "first_name": "MYRA",
        "name_prefix": "Ms.",
        "credential": "RN,MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN11028",
            "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 Apr 29, 2008; 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.