Individual provider Active NPI

Karly Carlile, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1306515473
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
819713 Issued in NV
Practice address
9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone
(022) 408-6467
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 819713 NV Primary

Addresses

Primary practice location

9010 W Cheyenne Ave
Las Vegas, NV 89129-8932

Mailing address

3630 Edinburgh Dr
Las Vegas, NV 89103-1204

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.fortefamilypractice.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711003399 NV Practitioner - Nurse Practitioner 1557741352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Practice addresses (Care Compare)

585 College Dr
Suite C
Henderson, NV 89015-1542
Phone (725) 777-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Nevada, LLC CurrentSince Oct 12, 2024 Accepting new patients
Saima Khalid DO PLLC CurrentSince May 20, 2024 Accepting new patients
Dana Forte D O LTD Family CurrentSince Mar 30, 2022 Accepting new patients

Locations

585 College Dr
Ste C
Henderson, NV 89015
Phone (725) 777-3200

105 N Pecos Rd
Ste 111
Henderson, NV 89074
Phone (702) 263-4555

9010 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 240-8646

2202 W Craig Rd
North Las Vegas, NV 89032
Phone (702) 826-3200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1306515473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 EDINBURGH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298932",
            "telephone_number": "022-408-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLILE",
        "first_name": "KARLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "819713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fortefamilypractice.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "fortefamilypractice",
            "address_1": "9010 W Cheyenne Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891298932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.