Individual provider Active NPI

Amon Denzel Lester, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1194389569
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
820033 Issued in NV
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

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014001739 NV Practitioner - Nurse Practitioner 3173851953 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
820033NVMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed1 LLC Current Accepting new patients
Dimalanta Guiang PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

7390 W Sahara Ave
Ste 232
Las Vegas, NV 89117
Phone (702) 998-7370

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.