Active NPI
Janice Spence Wilmot, APRN
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1164412086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN001099
- Practice address
- 6529 Forza CT
Las Vegas, NV 89131-3150 - Phone
- (702) 658-4250
- NPI assigned
- Oct 22, 2005
- Last updated
- May 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN001099 | NV | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 836 | AK | |
| Women's Health Nurse Practitioner | 363LW0102X | 1-029211 | AL | |
| Women's Health Nurse Practitioner | 363LW0102X | TAPN700482 | NV | |
| Registered Nurse | 163W00000X | 24423 | AK | |
| Registered Nurse | 163W00000X | 1-029211 | AL | |
| Registered Nurse | 163W00000X | RN60377 | NV |
Addresses
Primary practice location
6529 Forza CT
Las Vegas, NV 89131-3150
Mailing address
6529 Forza CT
Las Vegas, NV 89131-3150
Phone (702) 658-4250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164412086 | Medicaid | NV | |
| NP1697 | Medicaid | AK |
Other names 1
- Ms. Janice Rose Spence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24423 | AK | MD | Registered Nurse |
| RN60377 | NV | MD | Registered Nurse |
| 1-029211 | AL | MD | Women's Health Nurse Practitioner |
| TAPN700482 | NV | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464566400000",
"number": "1164412086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6529 FORZA CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891313150",
"telephone_number": "702-658-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6529 FORZA CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891313150",
"telephone_number": "702-658-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMOT",
"first_name": "JANICE",
"middle_name": "SPENCE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-22",
"last_updated": "2016-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APN001099",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AK",
"license": "836",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AL",
"license": "1-029211",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NV",
"license": "TAPN700482",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "24423",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-029211",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN60377",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164412086",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1697",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "SPENCE",
"middle_name": "ROSE",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
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 May 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.