Robert Bustamante Bagne, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

862361 Issued in NV

Practice address

4040 S Eastern Ave Ste 300
Las Vegas, NV 89119-0854

Phone

(949) 438-9086

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1295506095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9164 NOVEL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493087",
            "telephone_number": "949-438-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S EASTERN AVE STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190854",
            "telephone_number": "949-438-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNE",
        "first_name": "ROBERT",
        "middle_name": "BUSTAMANTE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NV",
            "license": "862361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabina Bagirov
• David Anthony Bagley
• Karen Bagley, LMFT
• Mhalia B Bagley
• Shannon Bagnara, CPC-I
• Alyssa-Mae Baligad Bagoyo
• Rebecca Lynn Bagshaw
• Bagwell Elite Hospitalists PLLC
• Bagzall LLC
• Sevan Bahaa

• Licensed Vocational Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Vocational Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.