Individual provider Active NPI

Tanya Y Walker, AGPCNP-C

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1346645454
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN002351 Issued in NV
Practice address
9475 S Rainbow Blvd Ste 120
Las Vegas, NV 89139-6701
Phone
(702) 803-9635
Fax
(702) 758-7638
NPI assigned
Oct 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN002351 NV Primary

Addresses

Primary practice location

9475 S Rainbow Blvd Ste 120
Las Vegas, NV 89139-6701

Mailing address

4725 Salutations Ave
Las Vegas, NV 89139-5707
Phone (314) 503-0827

Other identifiers 1

IdentifierTypeStateIssuer
1346645454MedicaidNV

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
I20181126001759 NV Practitioner - Nurse Practitioner 6507182078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC Nurse Practitioner CurrentSince Oct 1, 2018 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Sep 1, 2020 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Sep 1, 2020 Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
P3 Health Partners Professional Services PC Nurse Practitioner Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

4275 Burnham Ave
Ste 270
Las Vegas, NV 89119
Phone (702) 888-3221

1800 W Charleston Blvd
Ste 508
Las Vegas, NV 89102
Phone (702) 383-2688

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

11860 Southern Highlands Pkwy
Ste 102
Las Vegas, NV 89141
Phone (702) 737-2273

11860 Southern Highlands Pkwy
Ste 100
Las Vegas, NV 89141
Phone (702) 383-6230

Organizations & group practices 7

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": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1346645454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 SALUTATIONS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891395707",
            "telephone_number": "314-503-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 S RAINBOW BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396701",
            "telephone_number": "702-803-9635",
            "fax_number": "702-758-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TANYA",
        "middle_name": "Y",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "APRN002351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346645454",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.