Individual provider Active NPI

Sarah Maniora, NP

  • Pediatric Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1336844364
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
884694 Issued in NV
Practice address
1 Breakthrough Way
Las Vegas, NV 89135-3011
Phone
(702) 732-1493
Fax
(702) 732-1080
NPI assigned
Mar 31, 2023
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 884694 NV
Pediatric Nurse Practitioner 363LP0200X 884694 NV Primary

Addresses

Primary practice location

1 Breakthrough Way
Las Vegas, NV 89135-3011

Mailing address

10170 W Tropicana Ave # 156-252
Las Vegas, NV 89147-8465
Phone (027) 321-4937

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
I20250123001675 NV Practitioner - Nurse Practitioner 4486183274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance for Childhood DiseasesGroup PAC ID 9739303298, 13 clinicians

Practice addresses (Care Compare)

1 Breakthrough Way
Las Vegas, NV 89135-3011
Phone (702) 732-1493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
884694NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance for Childhood Diseases Pediatric Hematology-Oncology CurrentSince Jan 6, 2025 Accepting new patients
Alliance for Childhood Diseases CurrentSince Jan 6, 2025 Accepting new patients
Lake Forest Pediatric Associates, LTD Pediatrics PastSince Apr 1, 2023 Accepting new patients
Rush University Medical Center Pediatrics PastSince Apr 1, 2023 Accepting new patients

Locations

1 Breakthrough Way
Las Vegas, NV 89135
Phone (702) 822-5433

1 Breakthrough Way
Ste 300
Las Vegas, NV 89135

10170 W Tropicana Ave
#156252
Las Vegas, NV 89147

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1336844364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 W TROPICANA AVE # 156-252",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478465",
            "telephone_number": "027-321-4937",
            "fax_number": "702-732-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BREAKTHROUGH WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353011",
            "telephone_number": "702-732-1493",
            "fax_number": "702-732-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIORA",
        "first_name": "SARAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "884694",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NV",
            "license": "884694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.