Active NPI
Psychgenesis Medical, PLLC
Doing business as PsycGenesis Medical, PLLC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1265131676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PSYCHGENESIS MEDICAL, PLLC
- Doing business as
- PsycGenesis Medical, PLLC
- Practice address
- 5695 Oak St
Las Vegas, NV 89120-1936 - Phone
- (702) 849-3767
- Fax
- (702) 441-1652
- NPI assigned
- Feb 24, 2023
- Last updated
- Apr 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eva Maria Rivera, NP-C
- Title
- Owner
- Phone
- (702) 849-3767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
5695 Oak St
Las Vegas, NV 89120-1936
Mailing address
5695 Oak St
Las Vegas, NV 89120-1936
Phone (702) 849-3767
Other names 1
- PsycGenesis Medical, PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1437780996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1265131676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5695 OAK ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891201936",
"telephone_number": "702-849-3767",
"fax_number": "702-441-1652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5695 OAK ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891201936",
"telephone_number": "702-849-3767",
"fax_number": "702-441-1652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHGENESIS MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-24",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "EVA MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-849-3767",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PsycGenesis Medical, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.