Individual provider Active NPI

Tricia Anne Vergara Talabucon, RN

  • Registered Nurse
  • Henderson, NV
National Provider Identifier
1174498901
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
847946 Issued in NV
Practice address
403 Larksong Ave
Henderson, NV 89011-4533
Phone
(412) 218-4122
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 847946 NV Primary

Addresses

Primary practice location

403 Larksong Ave
Henderson, NV 89011-4533

Mailing address

403 Larksong Ave
Henderson, NV 89011-4533

Other names 1

  • Tricia Anne Paloma Vergara Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
847946NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1174498901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LARKSONG AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 LARKSONG AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114533",
            "telephone_number": "412-218-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALABUCON",
        "first_name": "TRICIA ANNE",
        "middle_name": "VERGARA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "847946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA ANNE",
            "last_name": "VERGARA",
            "middle_name": "PALOMA",
            "credential": "RN MSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.