NPIMap

Individual provider Active NPI

Maria Catherine G Gatchalian, FNP-C

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1164930806
Registry record updated Feb 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN002802 Issued in NV
Practice address
633 N Decatur Blvd
Las Vegas, NV 89107-1911
Phone
(702) 258-4900
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN002802 NV Primary

Addresses

Primary practice location

633 N Decatur Blvd
Las Vegas, NV 89107-1911

Mailing address

633 N Decatur Blvd
Las Vegas, NV 89107-1911
Phone (702) 258-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004001423 NV Practitioner - Nurse Practitioner 0345592291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suhattai Gamnerdsiri MD LTDGroup PAC ID 5698910503, 6 clinicians

Practice addresses (Care Compare)

2000 Pinto LN
Suite 200
Las Vegas, NV 89106-4066
Phone (702) 367-9300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suhattai Gamnerdsiri, M.D. LTD. CurrentSince Apr 1, 2019 Accepting new patients

Locations

1000 N Green Valley Pkwy
#440398
Henderson, NV 89074

2000 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 367-9300

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518912000000",
    "number": "1164930806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071911",
            "telephone_number": "702-258-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071911",
            "telephone_number": "702-258-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATCHALIAN",
        "first_name": "MARIA CATHERINE",
        "middle_name": "G",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APRN002802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.