Individual provider Active NPI

Anthony Michael Valiente, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1124769732
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
852799 Issued in NV
Practice address
5915 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-2558
Phone
(702) 366-0640
NPI assigned
Apr 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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 852799 NV Primary

Addresses

Primary practice location

5915 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-2558

Mailing address

5915 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-2558
Phone (702) 366-0640

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
I20220606000686 NV Practitioner - Nurse Practitioner 3577941459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Center of Medicine Allen LLPGroup PAC ID 7517956485, 2 clinicians

Practice addresses (Care Compare)

5915 S Rainbow Blvd
Suite 105
Las Vegas, NV 89118-2558
Phone (702) 366-0640

Hospital & facility affiliations

  • Las Vegas Home Health Care, Inc Home health agency, Las Vegas, NV, CCN 297168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
852799NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Center of Medicine (Allen) LLP CurrentSince May 1, 2022 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

3012 S Durango Dr
#1
Las Vegas, NV 89117
Phone (702) 366-0640

5915 S Rainbow Blvd
Ste 105
Las Vegas, NV 89118
Phone (702) 366-0640

Interoperability endpoints

  • Direct secure messaging: anthony.valiente@dcoml.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BADBBD/Endpoint/BADBBD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1124769732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 S RAINBOW BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182558",
            "telephone_number": "702-366-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 S RAINBOW BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182558",
            "telephone_number": "702-366-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIENTE",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "852799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.