Active NPI
Ernesto J Isman, NP
- Psychiatric/Mental Health Registered Nurse
- Las Vegas, NV
National Provider Identifier
1326535683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- APRN002821
- Practice address
- 4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802 - Phone
- (725) 666-1636
- NPI assigned
- Apr 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | APRN002821 | NV | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN002821 | NV |
Addresses
Primary practice location
4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
Mailing address
1036 Olive Mill LN
Las Vegas, NV 89134-0601
Phone (702) 918-1963
Other practice location 1
2775 S Jones Blvd Ste 101
Las Vegas, NV 89146-5632
Phone (702) 685-3300
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1326535683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 OLIVE MILL LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891340601",
"telephone_number": "702-918-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4270 S DECATUR BLVD STE B6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891036802",
"telephone_number": "725-666-1636"
}
],
"practiceLocations": [
{
"address_1": "2775 S Jones Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891465632",
"country_code": "US",
"telephone_number": "702-685-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISMAN",
"first_name": "ERNESTO",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-21",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NV",
"license": "APRN002821",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002821",
"primary": false
}
],
"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 Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.