Individual provider Active NPI

Yamilka Figueredo Fonseca, NP

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1215624804
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
831454 Issued in NV
Practice address
2842 E Lake Mead Blvd Ste a
North Las Vegas, NV 89030-6548
Phone
(702) 790-1014
NPI assigned
Apr 24, 2023
Last updated
Jun 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 831454 NV Primary

Addresses

Primary practice location

2842 E Lake Mead Blvd Ste a
North Las Vegas, NV 89030-6548

Mailing address

5993 Autumn Harvest Ave
Las Vegas, NV 89142-0803
Phone (602) 502-9976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
831454NVMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1215624804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5993 AUTUMN HARVEST AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891420803",
            "telephone_number": "602-502-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 E LAKE MEAD BLVD STE A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306548",
            "telephone_number": "702-790-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEREDO FONSECA",
        "first_name": "YAMILKA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "831454",
            "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 Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.