Active NPI
Elizabeth Carroll Wilkes, APRN
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1306351952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002725
- Practice address
- 1524 Pinto LN FL 3
Las Vegas, NV 89106-4195 - Phone
- (702) 944-2828
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN002725 | NV | Primary |
Addresses
Primary practice location
1524 Pinto LN FL 3
Las Vegas, NV 89106-4195
Mailing address
3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973
Phone (702) 780-2311
Other practice location 1
2084 Stippled Clay St
Henderson, NV 89044-0387
Phone (702) 469-4772
Other practice location 2
4785 S Durango Dr Ste 101
Las Vegas, NV 89147-8167
Phone (702) 889-8444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN002725 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ackerman Autism Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Technician
- Las Vegas, NV
- NPI 1487242343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1306351952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 W CHARLESTON BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021973",
"telephone_number": "702-780-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 PINTO LN FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064195",
"telephone_number": "702-944-2828"
}
],
"practiceLocations": [
{
"address_1": "2084 Stippled Clay St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890440387",
"country_code": "US",
"telephone_number": "702-469-4772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4785 S Durango Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891478167",
"country_code": "US",
"telephone_number": "702-889-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKES",
"first_name": "ELIZABETH",
"middle_name": "CARROLL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002725",
"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 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.