Individual provider Active NPI

Sylvia C Averitt, APN

  • Obstetrics & Gynecology Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1366643553
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
APN00353 Issued in NV
Practice address
100 N Green Valley Pkwy
Ste 345
Henderson, NV 89074-7705
Phone
(702) 260-0600
NPI assigned
May 29, 2007
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APN00353 NV Primary

Addresses

Primary practice location

100 N Green Valley Pkwy
Ste 345
Henderson, NV 89074-7705

Mailing address

100 N Green Valley Pkwy
Ste 345
Henderson, NV 89074-7705
Phone (702) 260-0600

Other identifiers 1

IdentifierTypeStateIssuer
2402151MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN00353NVMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Free Allergy & Sinus Centers of Nevada CurrentSince Aug 10, 2025 Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 345
Henderson, NV 89074
Phone (702) 260-0600

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, 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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1366643553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY",
            "address_2": "STE 345",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747705",
            "telephone_number": "702-260-0600",
            "fax_number": "702-260-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GREEN VALLEY PKWY",
            "address_2": "STE 345",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747705",
            "telephone_number": "702-260-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERITT",
        "first_name": "SYLVIA",
        "middle_name": "C",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NV",
            "license": "APN00353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402151",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.