Individual provider Active NPI

Noelle Serrano Cerdan, PNP

  • Pediatric Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1285865774
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN51018 Issued in NV
Practice address
4570 S Eastern Ave
Suite 21
Las Vegas, NV 89119-6183
Phone
(702) 733-6033
Fax
(702) 892-9567
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN51018 NV Primary

Addresses

Primary practice location

4570 S Eastern Ave
Suite 21
Las Vegas, NV 89119-6183

Mailing address

4570 S Eastern Ave
Suite 21
Las Vegas, NV 89119-6183
Phone (702) 733-6033

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

LicenseStateTypeSpecialty
RN51018NVMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1285865774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 S EASTERN AVE",
            "address_2": "SUITE 21",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196183",
            "telephone_number": "702-733-6033",
            "fax_number": "702-892-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 S EASTERN AVE",
            "address_2": "SUITE 21",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196183",
            "telephone_number": "702-733-6033",
            "fax_number": "702-892-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERDAN",
        "first_name": "NOELLE",
        "middle_name": "SERRANO",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NV",
            "license": "RN51018",
            "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 Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.