Active NPI
Kurt Ricardo, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 846594
- Practice address
- 6415 S Fort Apache Rd Ste 1851096
Las Vegas, NV 89148-6744 - Phone
- (702) 721-8131
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN73820 | NV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 846594 | NV | Primary |
Addresses
Primary practice location
6415 S Fort Apache Rd Ste 1851096
Las Vegas, NV 89148-6744
Mailing address
6415 S Fort Apache Rd Ste 1851096
Las Vegas, NV 89148-6744
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 S Rainbow Blvd
Suite 206
Las Vegas, NV 89145-5356
Phone (702) 500-1728
7848 W Sahara Ave
Las Vegas, NV 89117-1944
Phone (702) 833-9740
9653 Mesa Ridge CT
Las Vegas, NV 89129-7818
Phone (702) 232-4210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 846594 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M R Valles Healthcare P C Inc | Current | Accepting new patients | |
| Celestial Health Solutions | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
2255 Renaissance Dr
Ste B
Las Vegas, NV 89119
Phone (702) 500-1728
801 S Rancho Dr
Ste A2
Las Vegas, NV 89106
Phone (702) 483-3630
222 S Rainbow Blvd
Ste 206
Las Vegas, NV 89145
Phone (702) 500-1728
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1124731401
Psychiatric/Mental Health
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1538226931
-
- Pediatric Occupational Therapist
- Las Vegas, NV
- NPI 1730629288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1336719764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 S FORT APACHE RD STE 1851096",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891486744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6415 S FORT APACHE RD STE 1851096",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891486744",
"telephone_number": "702-721-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICARDO",
"first_name": "KURT",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN73820",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "846594",
"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 Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.