Active NPI
Walter Iven West
- Family Nurse Practitioner
- Boulder City, NV
National Provider Identifier
1225946288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 878770
- Practice address
- 1452 Rawhide Rd
Boulder City, NV 89005-3114 - Phone
- (702) 277-0489
- NPI assigned
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 878770 | NV | Primary |
Addresses
Primary practice location
1452 Rawhide Rd
Boulder City, NV 89005-3114
Mailing address
1452 Rawhide Rd
Boulder City, NV 89005-3114
Phone (702) 277-0489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1225946288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1452 RAWHIDE RD",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890053114",
"telephone_number": "702-277-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 RAWHIDE RD",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890053114",
"telephone_number": "702-277-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "WALTER",
"middle_name": "IVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "878770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.