Individual provider Active NPI

Zonia Dumlao Fiesta, APRN,MSN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1205390499
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
814232 Issued in NV
Practice address
3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone
(702) 309-2311
Fax
(702) 309-2177
NPI assigned
Jan 22, 2019
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 814232 NV Primary
Otolaryngology Physician 207Y00000X CNP814232 NV

Addresses

Primary practice location

3483 S Eastern Ave
Las Vegas, NV 89169-3314

Mailing address

3195 Saint Rose Pkwy Ste 210
Henderson, NV 89052-3504
Phone (702) 792-6700

Other practice location 1

2931 N Tenaya Way Ste 206
Las Vegas, NV 89128-0458
Phone (702) 309-2311

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
I20190214001613 NV Practitioner - Nurse Practitioner 4486992526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ronald a Shockley MD a Professional CorporationGroup PAC ID 7810094976, 6 clinicians

Practice addresses (Care Compare)

3483 S Eastern Ave
Las Vegas, NV 89169-3314
Phone (702) 309-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.71 of 100Reported as group
Quality
57.16
Improvement activities
40
Cost
76.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP814232NVMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zonia Fiesta Aprn LLC Family Current Accepting new patients
Global Surgical Solutions PLLC CurrentSince Jan 30, 2025 Accepting new patients
Global Surgical Solutions PLLC CurrentSince Jan 30, 2025 Accepting new patients
Ronald a Shockley MD a Professional Corporation CurrentSince Aug 30, 2022 Accepting new patients

Locations

1040 Wigwam Pkwy
Ste 100
Henderson, NV 89074
Phone (702) 852-1888

1040 Wigwam Pkwy
Ste 110
Henderson, NV 89074
Phone (702) 558-6430

3483 S Eastern Ave
Las Vegas, NV 89169
Phone (702) 309-2311

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1205390499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523504",
            "telephone_number": "702-792-6700",
            "fax_number": "702-792-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693314",
            "telephone_number": "702-309-2311",
            "fax_number": "702-309-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 N Tenaya Way Ste 206",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280458",
            "country_code": "US",
            "telephone_number": "702-309-2311",
            "fax_number": "702-309-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIESTA",
        "first_name": "ZONIA",
        "middle_name": "DUMLAO",
        "credential": "APRN,MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "814232",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "CNP814232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.