Individual provider Active NPI

Shijuana Obi, CRNA, FNP

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NV
National Provider Identifier
1225372733
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
819264 Issued in NV
Practice address
5365 S Durango Dr
Las Vegas, NV 89113-2500
Phone
(702) 254-1777
NPI assigned
Nov 21, 2012
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 819264 NV Primary

Addresses

Primary practice location

5365 S Durango Dr
Las Vegas, NV 89113-2500

Mailing address

1445 Via Savona Dr
Henderson, NV 89052-3127
Phone (803) 530-6596

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
819264NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Shijuana Obi, LLC CurrentSince Jun 27, 2021 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
Kuhl Consulting LV Past Accepting new patients

Locations

5365 S Durango Dr
Las Vegas, NV 89113
Phone (702) 254-1777

8851 W Sahara Ave
Unit 100
Las Vegas, NV 89117

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, 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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1225372733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 VIA SAVONA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523127",
            "telephone_number": "803-530-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132500",
            "telephone_number": "702-254-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "SHIJUANA",
        "credential": "CRNA, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "819264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.