NPIMap

Organization Active NPI

Aplo Health and Aesthetics LLC

Doing business as ICare Medical Clinic

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104473248
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
APLO HEALTH AND AESTHETICS LLC
Doing business as
ICare Medical Clinic
Practice address
2831 Business Park CT Ste 110
Las Vegas, NV 89128-9010
Phone
(702) 713-5347
Fax
(844) 858-9345
NPI assigned
Aug 22, 2019
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Mrs. Jenesa Aguiluz-DizonNPI 1235607672
Title
Aprn
Phone
(509) 713-4619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

2831 Business Park CT Ste 110
Las Vegas, NV 89128-9010

Mailing address

10881 Woods Hole Bay St
Las Vegas, NV 89179-1457

Other practice location 1

4200 W Charleston Blvd
Las Vegas, NV 89102-1625
Phone (509) 713-4619

Other practice location 2

1330 Karen Ave Ste B
Las Vegas, NV 89169-1260
Phone (702) 748-8009

Other names 1

  • ICare Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204000265 NV Part B Supplier - Clinic/Group Practice 2062845175 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1104473248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 WOODS HOLE BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 BUSINESS PARK CT STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289010",
            "telephone_number": "702-713-5347",
            "fax_number": "844-858-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021625",
            "country_code": "US",
            "telephone_number": "509-713-4619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Karen Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891691260",
            "country_code": "US",
            "telephone_number": "702-748-8009",
            "fax_number": "844-858-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APLO HEALTH AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "AGUILUZ-DIZON",
        "authorized_official_first_name": "JENESA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "509-713-4619",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICare Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.