Individual provider Active NPI

Emily Taylor Ferreria, PA-C

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1164996419
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2085 Issued in NV
Practice address
870 Seven Hills Dr Ste 203
Henderson, NV 89052-4379
Phone
(702) 463-4788
NPI assigned
Jan 18, 2019
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2085 NV Primary

Addresses

Primary practice location

870 Seven Hills Dr Ste 203
Henderson, NV 89052-4379

Mailing address

10466 Smokewood Rd
Las Vegas, NV 89135-4023
Phone (661) 312-5265

Other practice location 1

2480 Professional Ct # 110
Las Vegas, NV 89128-0835
Phone (702) 868-9100

Other practice location 2

71 Falcon Feather Way
Henderson, NV 89012-5835
Phone (661) 312-5265

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
I20230926002982 NV Practitioner - Physician Assistant 4981058864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vincent D Ho Psychiatry PLLCGroup PAC ID 2062642085, 7 clinicians

Practice addresses (Care Compare)

870 Seven Hills Dr
Suite 203
Henderson, NV 89052-4379
Phone (702) 374-4322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2085NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maribel E Monroe MD LTD CurrentSince Nov 1, 2020 Accepting new patients
Raquel Martinez CurrentSince Jan 22, 2023 Accepting new patients

Locations

870 Seven Hills Dr
Ste 203
Henderson, NV 89052
Phone (702) 374-4322

2480 Professional Ct
#110
Las Vegas, NV 89128
Phone (702) 868-9100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1164996419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10466 SMOKEWOOD RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891354023",
            "telephone_number": "661-312-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 203",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524379",
            "telephone_number": "702-463-4788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 Professional Ct # 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280835",
            "country_code": "US",
            "telephone_number": "702-868-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Falcon Feather Way",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890125835",
            "country_code": "US",
            "telephone_number": "661-312-5265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRERIA",
        "first_name": "EMILY",
        "middle_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.