Rodelyn B. Arceo, DNP, APRN, FNP-C

Individual provider Active NPI Nurse Practitioner · Las Vegas, NV

NPI 1306495080 · NPPES record last updated Jan 7, 2022

Key facts

NPI
1306495080
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
823442 (NV)
Practice address
3900 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1629
Phone
(702) 718-0058
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
823442NVMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 823442 NV Yes

Addresses

Primary practice location

3900 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1629

Mailing address

3900 W Charleston Blvd Ste 150
Las Vegas, NV 89102-1629
Phone (702) 728-1826

Other practice location 1

10000 W Sahara Ave Ste 107
Las Vegas, NV 89117-6072
Phone (702) 903-1000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 7, 2022.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1306495080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021629",
            "telephone_number": "702-728-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021629",
            "telephone_number": "702-718-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 W Sahara Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891176072",
            "country_code": "US",
            "telephone_number": "702-903-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCEO",
        "first_name": "RODELYN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "823442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Nurse Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.