Individual provider Active NPI

Krizza Angelique Angeles Olonan, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1154029148
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TEMP863825 Issued in NV
Practice address
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone
(702) 853-3000
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X TEMP863825 NV Primary

Addresses

Primary practice location

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859

Mailing address

6885 Dragonfly Rock St
Las Vegas, NV 89148-4311
Phone (702) 524-3142

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
I20230606003234 NV Practitioner - Nurse Practitioner 4183081151 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
Lubna Javed MD PLLCGroup PAC ID 0648498543, 8 clinicians

Practice addresses (Care Compare)

5320 S Rainbow Blvd
Suite 154
Las Vegas, NV 89118-1807
Phone (702) 853-3853

Hospital & facility affiliations

  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TEMP863825NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lubna Javed MD PLLC Single Specialty CurrentSince Jan 25, 2023 Accepting new patients

Locations

5320 S Rainbow Blvd
Ste 154
Las Vegas, NV 89118
Phone (702) 818-5555

10170 W Tropicana Ave
Las Vegas, NV 89147
Phone (702) 818-5555

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

10170 W Tropicana Ave
Ste 156
Las Vegas, NV 89147

Organizations & group practices 1

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 7

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1154029148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 DRAGONFLY ROCK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484311",
            "telephone_number": "702-524-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181859",
            "telephone_number": "702-853-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLONAN",
        "first_name": "KRIZZA ANGELIQUE",
        "middle_name": "ANGELES",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "TEMP863825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.