Individual provider Active NPI

Lilian Castellvi

  • Pediatric Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1093291783
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
856851 Issued in NV
Practice address
6100 Empire Cir
Las Vegas, NV 89107-1451
Phone
(702) 624-8522
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 856851 NV Primary

Addresses

Primary practice location

6100 Empire Cir
Las Vegas, NV 89107-1451

Mailing address

6100 Empire Cir
Las Vegas, NV 89107-1451
Phone (702) 624-8522

Other identifiers 1

IdentifierTypeStateIssuer
1702927587OtherNVDL

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
856851NVMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Mind Centers Past Accepting new patients

Organizations & group practices 1

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1093291783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 EMPIRE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071451",
            "telephone_number": "702-624-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 EMPIRE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071451",
            "telephone_number": "702-624-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLVI",
        "first_name": "LILIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NV",
            "license": "856851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "1702927587",
            "state": "NV"
        }
    ],
    "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 8, 2024; 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.