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
| License | State | Type | Specialty |
|---|---|---|---|
| 823442 | NV | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Corazon Arceo
- Elizabeth Arceo
- Jan Michael Arceo
- Karlo Nikko Angeles Arceo
- Kayla Arceo
- Eryn Arch
- Kathleen Arch
- Tina Archangel
- Steven Archer
- Valerie Camille-Siazon Archer
All providers in Las Vegas, NV · Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.