Individual provider Active NPI

Ashley Rene Taitano, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1356930796
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
829623 Issued in NV
Practice address
330 S Casino Center Blvd
Las Vegas, NV 89101-6102
Phone
(702) 671-5690
Fax
(702) 366-0576
NPI assigned
Jan 11, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 829623 NV Primary

Addresses

Primary practice location

330 S Casino Center Blvd
Las Vegas, NV 89101-6102

Mailing address

330 S Casino Center Blvd
Las Vegas, NV 89101-6102
Phone (702) 671-5690

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ataitano@wellpath.us

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
I20210908002401 NV Practitioner - Nurse Practitioner 6002212552 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Health Mirza MD PC CurrentSince Dec 1, 2024 Accepting new patients
Rachel Ann Garcia Family CurrentSince Feb 15, 2026 Accepting new patients
Bashir Azher Medical Associates PC PastSince Dec 1, 2024 Accepting new patients

Locations

8879 W Flamingo Rd
Ste 201
Las Vegas, NV 89147
Phone (702) 239-9235

3080 S Needles Hwy
Ste 2200
Laughlin, NV 89029
Phone (928) 237-4418

2340 E Calvada Blvd
Ste 3
Pahrump, NV 89048
Phone (775) 727-0888

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

Interoperability endpoints

  • Direct secure messaging: ataitano@wellpath.us

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, 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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1356930796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S CASINO CENTER BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016102",
            "telephone_number": "702-671-5690",
            "fax_number": "702-366-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S CASINO CENTER BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016102",
            "telephone_number": "702-671-5690",
            "fax_number": "702-366-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITANO",
        "first_name": "ASHLEY",
        "middle_name": "RENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "829623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ataitano@wellpath.us",
            "affiliation": "N",
            "address_1": "330 S Casino Center Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891016102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.