Reynard Madriaga, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-CNP817435 Issued in NV

Practice address

4200 W Charleston Blvd BLDG a
Las Vegas, NV 89102-1625

Phone

(702) 824-2307

Fax

(800) 579-9591

NPI assigned

Jan 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: reynard.madriaganp.d1.p1@direct.afh.nextgenshare.com

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1124582218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9509 SPANISH STEPS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170842",
            "telephone_number": "702-592-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W CHARLESTON BLVD BLDG A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021625",
            "telephone_number": "702-824-2307",
            "fax_number": "800-579-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIAGA",
        "first_name": "REYNARD",
        "name_prefix": "Mr.",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN-CNP817435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Madlena
• Shahar Madmon
• Shauna Dean A Madourie, NP-C
• Ramon Lisander Madrazo Abreus
• Justin Madriaga, PA-C
• Olga Alicia Madrid-Nunez
• Alyssa Madrid
• Antonio Madrid
• Desiree Dawn Madrid
• Evelyn Madrid

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.