Individual provider Active NPI

Cherie Ann Soprano, PHD RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1295081776
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP007052 Issued in PA
Practice address
2332 N Las Vegas Blvd
North Las Vegas, NV 89030-5856
Phone
(570) 383-9934
Fax
(570) 230-0013
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP007052 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN001827 NV

Addresses

Primary practice location

2332 N Las Vegas Blvd
North Las Vegas, NV 89030-5856

Mailing address

260 Jovita CT
Henderson, NV 89074-5230
Phone (570) 881-3425

Other practice location 1

1020 S Boulder Hwy
Henderson, NV 89015-8533
Phone (702) 791-9030 ext. 11324

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)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN001827NVMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1295081776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 JOVITA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745230",
            "telephone_number": "570-881-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 N LAS VEGAS BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890305856",
            "telephone_number": "570-383-9934",
            "fax_number": "570-230-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 S Boulder Hwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890158533",
            "country_code": "US",
            "telephone_number": "702-791-9030 x11324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOPRANO",
        "first_name": "CHERIE",
        "middle_name": "ANN",
        "name_prefix": "Prof.",
        "credential": "PHD RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP007052",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN001827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 13, 2021; 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.