Active NPI
Antonio Enamorado Labrada Sr.
- Home Health Registered Nurse
- Las Vegas, NV
National Provider Identifier
1275901225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 836317
- Practice address
- 2780 S Jones Blvd
Suite 115
Las Vegas, NV 89146-5628 - Phone
- (702) 778-0830
- NPI assigned
- Sep 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Home Health Registered Nurse | 163WH0200X | 836317 | NV | Primary |
Addresses
Primary practice location
2780 S Jones Blvd
Suite 115
Las Vegas, NV 89146-5628
Mailing address
4325 S Bruce St
17
Las Vegas, NV 89119-6083
Phone (702) 209-6895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 836317 | NV | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1275901225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 S BRUCE ST",
"address_2": "17",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196083",
"telephone_number": "702-209-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 S JONES BLVD",
"address_2": "SUITE 115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465628",
"telephone_number": "702-778-0830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENAMORADO LABRADA",
"first_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-08",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NV",
"license": "836317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.