Active NPI
Amon Denzel Lester, FNP-C
- Family Nurse Practitioner
- Henderson, NV
National Provider Identifier
1194389569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 820033
- Practice address
- 861 Coronado Center Dr Ste 220
Henderson, NV 89052-3992 - Phone
- (702) 933-1485
- NPI assigned
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 820033 | NV | |
| Family Nurse Practitioner | 363LF0000X | 820033 | NV | Primary |
Addresses
Primary practice location
861 Coronado Center Dr Ste 220
Henderson, NV 89052-3992
Mailing address
861 Coronado Center Dr Ste 220
Henderson, NV 89052-3992
Phone (702) 933-1485
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
7390 W Sahara Ave
Suite 232
Las Vegas, NV 89117-2764
8033 Kemblefield Ave
Las Vegas, NV 89178-3856
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 820033 | NV | MD | Behavioral Neurology & Neuropsychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed1 LLC | Current | Accepting new patients | |
| Dimalanta Guiang PLLC | Current | Accepting new patients |
Locations
7390 W Sahara Ave
Ste 232
Las Vegas, NV 89117
Phone (702) 998-7370
Interoperability endpoints
- hiaah.amondenzellester@154984.advancedmd-direct.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.
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1134805435
-
- Multi-Specialty Clinic/Center
- Reno, NV
- NPI 1316772387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720828800000",
"number": "1194389569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 CORONADO CENTER DR STE 220",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523992",
"telephone_number": "702-933-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 CORONADO CENTER DR STE 220",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523992",
"telephone_number": "702-933-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESTER",
"first_name": "AMON",
"middle_name": "DENZEL",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2024-07-13",
"certification_date": "2024-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "NV",
"license": "820033",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "820033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.