Active NPI
Lisa Moreno, APRN
- Adult Health Nurse Practitioner
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN002443
- Practice address
- 4357 Corporate Center Dr Ste 450
North Las Vegas, NV 89030-0226 - Phone
- (702) 644-4673
- NPI assigned
- Jan 23, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN002443 | NV | Primary |
Addresses
Primary practice location
4357 Corporate Center Dr Ste 450
North Las Vegas, NV 89030-0226
Mailing address
4357 Corporate Center Dr Ste 450
North Las Vegas, NV 89030-0226
Phone (702) 644-4673
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002443 | NV | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easy Health Medical Solutions PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Ejaz Kamboj, MD, Inc. | Current | Accepting new patients |
Locations
10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024
701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958
302 E Carson Ave
Fl 10
Las Vegas, NV 89101
Phone (310) 435-5537
1770 N Buffalo Dr
Ste 103
Las Vegas, NV 89128
Phone (702) 650-0009
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- lisaa.morenonp.p1@direct.afh.nextgenshare.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.
-
- Cardiovascular Disease Physician
- Las Vegas, NV
- NPI 1225254139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1194262519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4357 CORPORATE CENTER DR STE 450",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890300226",
"telephone_number": "702-644-4673",
"fax_number": "702-902-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4357 CORPORATE CENTER DR STE 450",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890300226",
"telephone_number": "702-644-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "LISA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NV",
"license": "APRN002443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.