Organization Active NPI

Yannie Bodden Aprn PLLC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1134042054
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
YANNIE BODDEN APRN PLLC
Practice address
2080 E Flamingo Rd Ste 312
Las Vegas, NV 89119-5181
Phone
(469) 915-4211
Fax
(702) 956-5955
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Al Berry
Title
Manager
Phone
(469) 915-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2080 E Flamingo Rd Ste 312
Las Vegas, NV 89119-5181

Mailing address

2080 E Flamingo Rd Ste 312
Las Vegas, NV 89119-5181
Phone (469) 915-4211

National Provider Directory

National Provider Directory
Tax ID family
Yannie Bodden Aprn PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1134042054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195181",
            "telephone_number": "469-915-4211",
            "fax_number": "702-956-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195181",
            "telephone_number": "469-915-4211",
            "fax_number": "702-956-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANNIE BODDEN APRN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-915-4211"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Jul 30, 2026; 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.