Individual provider Active NPI

Rehannon M Fisher, APRN-CNP AGACNP-BC

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1346923703
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
869969 Issued in NV
Practice address
2701 N Tenaya Way Ste 120
Las Vegas, NV 89128-0479
Phone
(702) 955-8887
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 869969 NV
Critical Care Medicine Nurse Practitioner 363LC0200X 869969 NV
Adult Health Nurse Practitioner 363LA2200X 869969 NV Primary

Addresses

Primary practice location

2701 N Tenaya Way Ste 120
Las Vegas, NV 89128-0479

Mailing address

2701 N Tenaya Way Ste 120
Las Vegas, NV 89128-0479
Phone (702) 955-8887

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
I20240122002066 NV Practitioner - Nurse Practitioner 2668824038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2701 N Tenaya Way
Suite 120
Las Vegas, NV 89128-0479
Phone (702) 769-7087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher Professional Health Services CurrentSince Apr 21, 2024 Accepting new patients
Fisher Professional Health Services LLC CurrentSince Apr 22, 2024 Accepting new patients

Locations

2701 N Tenaya Way
Ste 120
Las Vegas, NV 89128
Phone (702) 505-4898

Interoperability endpoints

  • Direct secure messaging: elitehealthexperts.rehannonfisher@160976.advancedmd-direct.com

Organizations & group practices 2

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1346923703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280479",
            "telephone_number": "702-955-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280479",
            "telephone_number": "702-955-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "REHANNON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "869969",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NV",
            "license": "869969",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "869969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.