Individual provider Active NPI

Angela Greenhalgh, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1275037137
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002838 Issued in NV
Practice address
2000 Wellness Way
Las Vegas, NV 89106-4113
Phone
(702) 384-5101
Fax
(702) 387-0104
NPI assigned
Mar 23, 2018
Last updated
Apr 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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 APRN002838 NV Primary

Addresses

Primary practice location

2000 Wellness Way
Las Vegas, NV 89106-4113

Mailing address

6592 N Decatur Blvd
Ste 115
Las Vegas, NV 89131-1038
Phone (702) 384-5101

Other names 1

  • Angela Allred Former name

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
I20180605003204 NV Practitioner - Nurse Practitioner 3678838018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2231 W Charleston Blvd
Las Vegas, NV 89102-2254
Phone (702) 383-2663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002838NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center of Southern Nevada CurrentSince Aug 15, 2023 Accepting new patients
Golan Integrated Physical Medicine CurrentSince Feb 4, 2019 Accepting new patients
Golan Integrated Physical Medicine CurrentSince Feb 4, 2019 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Aug 15, 2023 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Pulmonary Associates, Inc. Past Accepting new patients

Locations

11860 Southern Highlands Pkwy
Ste 100
Las Vegas, NV 89141
Phone (702) 383-2663

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2231 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 383-2663

4231 N Rancho Dr
Las Vegas, NV 89130
Phone (702) 383-2663

6592 N Decatur Blvd
Ste 115
Las Vegas, NV 89131
Phone (702) 396-4993

Interoperability endpoints

  • Direct secure messaging: agreenhalgh122507@direct.umcsn.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCIBCA

Organizations & group practices 12

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1275037137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6592 N DECATUR BLVD",
            "address_2": "STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311038",
            "telephone_number": "702-384-5101",
            "fax_number": "702-382-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WELLNESS WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064113",
            "telephone_number": "702-384-5101",
            "fax_number": "702-387-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHALGH",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ALLRED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.