Individual provider Active NPI

Curtis D Child, APRN, FNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1144327099
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1985124405 Issued in UT
Practice address
3501 W Charleston Blvd
110
Las Vegas, NV 89102-1839
Phone
(702) 227-4165
Fax
(702) 227-7921
NPI assigned
Sep 20, 2006
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1985124405 UT Primary

Addresses

Primary practice location

3501 W Charleston Blvd
110
Las Vegas, NV 89102-1839

Mailing address

3501 W Charleston Blvd
110
Las Vegas, NV 89102-1839
Phone (702) 227-4165

Other identifiers 1

IdentifierTypeStateIssuer
70569OtherUTPEHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040608001308 UT Practitioner - Nurse Practitioner 4688657968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bear River Mental Health Services IncGroup PAC ID 0840102356, 31 clinicians

Practice addresses (Care Compare)

663 W 950
Brigham City, UT 84302-3021
Phone (435) 734-9449

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1985124405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bear River Mental Health Services Inc CurrentSince Feb 22, 2014 Accepting new patients

Locations

663 W Hospital Rd
Brigham City, UT 84302
Phone (435) 734-9449

90 E 200 N
Logan, UT 84321
Phone (435) 752-0750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1144327099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W CHARLESTON BLVD",
            "address_2": "110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021839",
            "telephone_number": "702-227-4165",
            "fax_number": "702-227-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W CHARLESTON BLVD",
            "address_2": "110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021839",
            "telephone_number": "702-227-4165",
            "fax_number": "702-227-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILD",
        "first_name": "CURTIS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "1985124405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "70569",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.