Individual provider Active NPI

Shaheen Waqar Ahmad, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1205447406
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
832360 Issued in NV
Practice address
4270 S Decatur Blvd
Las Vegas, NV 89103-6800
Phone
(702) 485-2100
NPI assigned
Aug 11, 2020
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 832360 NV Primary

Addresses

Primary practice location

4270 S Decatur Blvd
Las Vegas, NV 89103-6800

Mailing address

2750 Natural Rock Dr
Las Vegas, NV 89138-6120
Phone (702) 470-9050

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
I20200915001836 NV Practitioner - Nurse Practitioner 2062830516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

850 Mill St
Suite 100
Reno, NV 89502-1463
Phone (775) 538-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Jan 1, 2020 Accepting new patients
Alliance Mental Health Specialists Suba Park Cheng PLLC CurrentSince Nov 21, 2023 Accepting new patients
Medtrans Medical Nevada Casal PLLC Current Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

4270 S Decatur Blvd
Las Vegas, NV 89103
Phone (702) 485-2100

4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100

5412 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 383-2406

6880 S McCarran Blvd
Ste 14
Reno, NV 89509
Phone (702) 485-2100

850 Mill St
Reno, NV 89502
Phone (775) 544-9143

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

890 Mill St
Fl 4
Reno, NV 89502

890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566

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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1205447406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 NATURAL ROCK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386120",
            "telephone_number": "702-470-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891036800",
            "telephone_number": "702-485-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SHAHEEN",
        "middle_name": "WAQAR",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "832360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.