Individual provider Active NPI

Leah I Tapia-Nicholes, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1336859602
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
857572 Issued in NV
Practice address
3039 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-4193
Phone
(702) 478-5111
Fax
(702) 602-9012
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 857572 NV
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 857572 NV Primary

Addresses

Primary practice location

3039 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-4193

Mailing address

10624 S Eastern Ave Ste a
PMB 873
Henderson, NV 89052-2983
Phone (702) 478-5111

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
I20230912001675 NV Practitioner - Nurse Practitioner 9537523386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marguerite Brathwaite MD PLLCGroup PAC ID 2365843935, 2 clinicians

Practice addresses (Care Compare)

851 S Rampart Blvd
Suite 165
Las Vegas, NV 89145-4885
Phone (702) 413-7740

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
857572NVMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marguerite Brathwaite MD PLLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

851 S Rampart Blvd
Ste 160
Las Vegas, NV 89145

851 S Rampart Blvd
Ste 130
Las Vegas, NV 89145
Phone (702) 823-1333

7650 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 413-7740

9811 W Charleston Blvd
Ste 2421
Las Vegas, NV 89117
Phone (702) 810-9797

851 S Rampart Blvd
Ste 165
Las Vegas, NV 89145
Phone (702) 413-7740

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEGECD/Endpoint/FEGECD

Organizations & group practices 1

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1336859602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A",
            "address_2": "PMB 873",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522983",
            "telephone_number": "702-478-5111",
            "fax_number": "702-602-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524193",
            "telephone_number": "702-478-5111",
            "fax_number": "702-602-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA-NICHOLES",
        "first_name": "LEAH",
        "middle_name": "I",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "857572",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NV",
            "license": "857572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.