Individual provider Active NPI

Diana Rodriguez, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1215649405
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
817247 Issued in NV
Practice address
5660 W Flamingo Rd
Las Vegas, NV 89103-0171
Phone
(702) 748-9148
Fax
(414) 363-3707
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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 817247 NV Primary

Addresses

Primary practice location

5660 W Flamingo Rd
Las Vegas, NV 89103-0171

Mailing address

5660 W Flamingo Rd Ste B
Las Vegas, NV 89103-2312
Phone (702) 748-9148

Other identifiers 2

IdentifierTypeStateIssuer
1215649405MedicaidNV
817247OtherNVSTATE LICENSE

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
I20230314002303 NV Practitioner - Nurse Practitioner 8628442639 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
817247NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 9, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 9, 2023 Accepting new patients
Ares Advance Practice LLC CurrentSince May 1, 2025 Accepting new patients

Locations

821 N Nellis Blvd
Ste 100
Las Vegas, NV 89110
Phone (702) 438-4003

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

5660 W Flamingo Rd
Ste B
Las Vegas, NV 89103
Phone (702) 596-2188

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

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": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1215649405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 W FLAMINGO RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032312",
            "telephone_number": "702-748-9148",
            "fax_number": "414-363-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030171",
            "telephone_number": "702-748-9148",
            "fax_number": "414-363-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "817247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215649405",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "817247",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.