Individual provider Active NPI

Cyvada Molly Sutton, NP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1114409620
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002732 Issued in NV
Practice address
3320 N Buffalo Dr Ste 106
Las Vegas, NV 89129-7410
Phone
(702) 869-6190
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002732 NV Primary
Family Nurse Practitioner 363LF0000X AP10394 AZ

Addresses

Primary practice location

3320 N Buffalo Dr Ste 106
Las Vegas, NV 89129-7410

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 315-7910

Other practice location 1

151 S Oak Ave Ste 7
San Luis, AZ 85336-0756
Phone (928) 366-5166

Other practice location 2

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 336-2228

Other practice location 3

1233 N Main St Ste 1A
San Luis, AZ 85336-0663
Phone (928) 550-5514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181120003177 AZ Practitioner - Nurse Practitioner 9335493758 Reassigns benefits to 2 organizations
I20210826000923 NV Practitioner - Nurse Practitioner 9335493758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yang Medical Services PLLCGroup PAC ID 7315275773, 37 clinicians

Practice addresses (Care Compare)

1181 Grier Dr
Suite C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002732NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yang Medical Services, PLLC CurrentSince Jul 20, 2021 Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Aug 7, 2023 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
Adobe Provider Group CurrentSince Sep 13, 2023 Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince Aug 7, 2023 Accepting new patients

Locations

601 W Riverside Dr
Ste 4
Parker, AZ 85344
Phone (928) 256-4110

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

Organizations & group practices 5

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1114409620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-315-7910",
            "fax_number": "928-627-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N BUFFALO DR STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297410",
            "telephone_number": "702-869-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 S Oak Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360756",
            "country_code": "US",
            "telephone_number": "928-366-5166",
            "fax_number": "928-366-5165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-336-2228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1233 N Main St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360663",
            "country_code": "US",
            "telephone_number": "928-550-5514",
            "fax_number": "928-550-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "CYVADA",
        "middle_name": "MOLLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "002732",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.