Nipaporn Tina Buadaeng, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN002918 Issued in NV

Practice address

3425 Cliff Shadows Pkwy Ste 250
Las Vegas, NV 89129-5112

Phone

(702) 382-1599

Fax

(702) 240-4962

NPI assigned

Apr 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Molin PLLCGroup PAC ID 7517406994, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nipaporn.buadaeng.1@31667.direct.athenahealth.com

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.

• Molin PLLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1932955408
  Medicare reassignment Care Compare group NPD
• Las Vegas Ketamine LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1710696877
  Medicare reassignment NPD
• Advanced Psychiatric Associates Inc

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1528479250
  NPD (past)
• Noble Behavioral Healthcare Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1508211194
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1366939019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 CLIFF SHADOWS PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295111",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 CLIFF SHADOWS PKWY STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295112",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7390 W Sahara Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891172765",
            "country_code": "US",
            "telephone_number": "702-957-0468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUADAENG",
        "first_name": "NIPAPORN",
        "middle_name": "TINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002918",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "2023191298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366939019",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryzacon LLC
• Larhonda Bsrnett
• Jie Bu
• Yapeng Bu
• Ruth Bema Buabeng
• Liza Buan, RN
• Bel Buban
• Hailey Buban
• Chard Denis Bubb, MD
• Avdo Bubic

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.