Individual provider Active NPI

Luzelle Capalla Cabuntala, APRN

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1235966177
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
881130 Issued in NV
Practice address
2839 Saint Rose Pkwy Ste 130
Henderson, NV 89052-4849
Phone
(702) 558-4027
Fax
(702) 558-4028
NPI assigned
Sep 16, 2024
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 881130 NV Primary

Addresses

Primary practice location

2839 Saint Rose Pkwy Ste 130
Henderson, NV 89052-4849

Mailing address

7318 Agapanthus CT
Las Vegas, NV 89113-3209
Phone (209) 201-5775

Other practice location 1

404 Camino Del Rio S Ste 102
San Diego, CA 92108-3586
Phone (855) 313-0885

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
I20241012000055 NV Practitioner - Nurse Practitioner 4284166471 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajat Sood MD LTDGroup PAC ID 1850392705, 3 clinicians
Advanced Care and Wellness Center LLCGroup PAC ID 8527508340, 8 clinicians

Practice addresses (Care Compare)

2839 Saint Rose Pkwy
Suite 130
Henderson, NV 89052-4849
Phone (702) 558-4027

855 E Twain Ave
Suite 103
Las Vegas, NV 89169-0820
Phone (702) 591-3381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
881130NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carefirst Urgent Care, LLC CurrentSince Sep 28, 2024 Accepting new patients
Advanced Care & Wellness Center LLC CurrentSince Mar 20, 2025 Accepting new patients
Clinic 21 of Nevada Zyniewicz PLLC CurrentSince Sep 28, 2024 Accepting new patients
Munawar a Qurashi MD LLC CurrentSince Jan 1, 2025 Accepting new patients
Rajat Sood MD LTD CurrentSince Oct 1, 2024 Accepting new patients
CG Medical Associates Inc Past Accepting new patients

Locations

10301 Jeffreys St
Henderson, NV 89052
Phone (702) 269-0781

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 963-7000

1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671

2839 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 558-4027

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

5216 Boulder Hwy
Ste 105
Las Vegas, NV 89122
Phone (513) 846-6778

855 E Twain Ave
Ste 103
Las Vegas, NV 89169
Phone (702) 591-3381

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

Organizations & group practices 6

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1235966177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 AGAPANTHUS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133209",
            "telephone_number": "209-201-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 SAINT ROSE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524849",
            "telephone_number": "702-558-4027",
            "fax_number": "702-558-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Camino Del Rio S Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083586",
            "country_code": "US",
            "telephone_number": "855-313-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABUNTALA",
        "first_name": "LUZELLE",
        "middle_name": "CAPALLA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "881130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.