Shane K.K. Lazaro, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

832915 Issued in NV

Practice address

6350 S Durango Dr
Las Vegas, NV 89113-1774

Phone

(702) 790-8000

Fax

(833) 471-3189

NPI assigned

Aug 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henderson Hospital Hospital, Henderson, NV, CCN 290057
• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shane.lazaro.1@15442.direct.athenahealth.com

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.

• Platinum Hospitalists LLP

  • Hospitalist Physician
  • Henderson, NV
  • NPI 1861627242
  Medicare reassignment Care Compare group NPD
• Platinum Hospitalists LLP

  dba Platinum Continuity and Specialty Clinic

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1073381794
  NPD
• Platinum Hospitalists LLP

  dba Platinum Continuity and Specialty Clinic

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1437948726
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1003281452
  Care Compare affiliation
• Henderson Hospital

  dba ER at Cadence

  • Emergency Care Clinic/Center
  • Henderson, NV
  • NPI 1285490292

  Hospital

  Care Compare affiliation
• Henderson Hospital

  dba ER at Green Valley Ranch

  • Emergency Care Clinic/Center
  • Henderson, NV
  • NPI 1376198028

  Hospital

  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba ER at South Summerlin, Extension of Summerlin Hospital

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1255942983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131774",
            "telephone_number": "702-790-8000",
            "fax_number": "833-471-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "SHANE",
        "middle_name": "K.K.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lazaire
• Steve Howard Lazar, D.M.D.
• Krishtina Lazard-Brumfield
• Jasmine Celina Sia Lazaro, APRN, FNP-C
• Rosa Isela Lazaro
• Christi Lee Lazaroff
• Julie Susan Lazarre-Miller, NP
• Jose Sebastian Andres Lazarte Loayza, MD
• Sarai Lazarte-Monttedoro
• Christian Lazarte, LMFT, LCADC

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.