Individual provider Active NPI

Karren Joy Corregidor, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1376123265
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
821889 Issued in NV
Practice address
5840 W Sunset Rd
Las Vegas, NV 89118-3449
Phone
(702) 967-6100
Fax
(702) 967-6150
NPI assigned
Apr 13, 2021
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 821889 NV Primary
Gerontology Registered Nurse 163WG0600X RN821889 NV

Addresses

Primary practice location

5840 W Sunset Rd
Las Vegas, NV 89118-3449

Mailing address

5840 W Sunset Rd
Las Vegas, NV 89118-3449
Phone (702) 967-6100

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
I20251107002112 NV Practitioner - Nurse Practitioner 3072902808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revivify Wound Care and Soft Tissue SpecialtyGroup PAC ID 6002312998, 2 clinicians

Practice addresses (Care Compare)

4533 Merkel Bluff St
Las Vegas, NV 89147-5128
Phone (702) 886-2269

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN821889NVMDGerontology Registered Nurse
821889NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Health Mirza MD PC CurrentSince Jul 28, 2025 Accepting new patients
Celestial Health Solutions Current Accepting new patients
Quality Medical Specialists LLC Current Accepting new patients
Revivify Wound Care and Soft Tissue Specialty CurrentSince Oct 2, 2025 Accepting new patients

Locations

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1376123265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 W SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183449",
            "telephone_number": "702-967-6100",
            "fax_number": "702-967-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 W SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183449",
            "telephone_number": "702-967-6100",
            "fax_number": "702-967-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREGIDOR",
        "first_name": "KARREN",
        "middle_name": "JOY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "821889",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NV",
            "license": "RN821889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.