Individual provider Active NPI

Alyssa Patricia Manese De Luna, BSN, RN

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1316785595
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
874596 Issued in NV
Practice address
5155 S Durango Dr Ste 101
Las Vegas, NV 89113-0174
Phone
(702) 869-4401
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 874596 NV Primary

Addresses

Primary practice location

5155 S Durango Dr Ste 101
Las Vegas, NV 89113-0174

Mailing address

9621 Drayton Ave
Las Vegas, NV 89148-4623
Phone (714) 616-9173

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
874596NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1316785595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 DRAYTON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484623",
            "telephone_number": "714-616-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 S DURANGO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130174",
            "telephone_number": "702-869-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUNA",
        "first_name": "ALYSSA PATRICIA",
        "middle_name": "MANESE",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "874596",
            "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 Jul 19, 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.