Active NPI
Mayra Corona, APRN FNP-BC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1124803721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 817035
- Practice address
- 8778 S Maryland Pkwy
Las Vegas, NV 89123-6704 - Phone
- (725) 500-4645
- Fax
- (702) 442-0947
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 817035 | NV | Primary |
Addresses
Primary practice location
8778 S Maryland Pkwy
Las Vegas, NV 89123-6704
Mailing address
8778 S Maryland Pwky
Las Vegas, NV 89123-2821
Phone (725) 500-4645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1124803721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8778 S MARYLAND PWKY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232821",
"telephone_number": "725-500-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8778 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891236704",
"telephone_number": "725-500-4645",
"fax_number": "702-442-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONA",
"first_name": "MAYRA",
"name_prefix": "Miss",
"credential": "APRN FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2023-09-05",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "817035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.