Individual provider Active NPI

Diana Cunanan

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104651595
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
881135 Issued in NV
Practice address
7380 W Sahara Ave Ste 160
Las Vegas, NV 89117-2762
Phone
(702) 779-6800
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 881135 NV Primary

Addresses

Primary practice location

7380 W Sahara Ave Ste 160
Las Vegas, NV 89117-2762

Mailing address

7380 W Sahara Ave Ste 160
Las Vegas, NV 89117-2762
Phone (702) 779-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401002677 NV Practitioner - Nurse Practitioner 5092238980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Vegas Medical Group LLCGroup PAC ID 6800118522, 51 clinicians

Practice addresses (Care Compare)

6850 N Durango Dr
Suite 208
Las Vegas, NV 89149-4596
Phone (702) 835-9870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Alliance LLC CurrentSince Mar 20, 2025 Accepting new patients
Las Vegas Medical Group LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

7380 W Sahara Ave
Ste 160
Las Vegas, NV 89117
Phone (702) 777-9680

6850 N Durango Dr
Ste 208
Las Vegas, NV 89149
Phone (702) 835-9870

Organizations & group practices 2

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1104651595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 W SAHARA AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172762",
            "telephone_number": "702-779-6800",
            "fax_number": "702-781-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 W SAHARA AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172762",
            "telephone_number": "702-779-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNANAN",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "881135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.