Active NPI
Reynaly Campos, APRN FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 835279
- Practice address
- 10680 Spruce Bough St
Las Vegas, NV 89183-4631 - Phone
- (702) 274-4721
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 835279 | NV | Primary |
Addresses
Primary practice location
10680 Spruce Bough St
Las Vegas, NV 89183-4631
Mailing address
10680 Spruce Bough St
Las Vegas, NV 89183-4631
Phone (702) 274-4721
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2325 E Harmon Ave
Las Vegas, NV 89119-7848
Phone (702) 798-7990
2801 N Tenaya Way
Suite C
Las Vegas, NV 89128-1400
Phone (702) 684-7800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835279 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Center at Red Rock Capobianco PLLC | Current | Accepting new patients | |
| Munawar a Qurashi MD LLC | Current | Accepting new patients | |
| Southern Nevada Care Center | Current | Accepting new patients |
Locations
1681 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 564-1234
3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000
10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781
7220 S Cimarron Rd
Ste 155
Las Vegas, NV 89113
Phone (702) 275-6686
9175 W Oquendo Rd
Las Vegas, NV 89148
Phone (702) 252-7342
2801 N Tenaya Way
Ste C
Las Vegas, NV 89128
Phone (702) 684-7800
8879 W Flamingo Rd
Ste 106
Las Vegas, NV 89147
Phone (702) 625-0022
2325 E Harmon Ave
Las Vegas, NV 89119
Phone (702) 798-1990
5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260
Interoperability endpoints
- reynaly.campos.1@32704.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Addiction Medicine (Family Medicine) Physician
- Las Vegas, NV
- NPI 1942688932
-
- Physical Medicine & Rehabilitation Physician
- Henderson, NV
- NPI 1982758769
-
dba Southern Nevada Medical and Behavioral Group
- Clinic/Center
- Las Vegas, NV
- NPI 1801485131
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1679932214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1154922300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10680 SPRUCE BOUGH ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834631",
"telephone_number": "702-274-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10680 SPRUCE BOUGH ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834631",
"telephone_number": "702-274-4721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "REYNALY",
"credential": "APRN FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "835279",
"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 Nov 4, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.