Individual provider Active NPI

Reynaly Campos, APRN FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1154922300
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
835279 Issued in NV
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

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319000496 NV Practitioner - Nurse Practitioner 9032526017 Reassigns benefits to 3 organizations

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
Doctors Center at Red Rock Capobianco PLLCGroup PAC ID 6204156763, 14 clinicians

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

LicenseStateTypeSpecialty
835279NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center at Red Rock Capobianco PLLC CurrentSince Apr 21, 2024 Accepting new patients
Munawar a Qurashi MD LLC CurrentSince Mar 1, 2021 Accepting new patients
Southern Nevada Care Center CurrentSince Nov 1, 2021 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.