Individual provider Active NPI

Vanessa E R Pulido Artienda

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1376165985
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
98 E Lake Mead Pkwy Ste 103
Henderson, NV 89015-6443
Phone
(800) 787-2568
NPI assigned
May 18, 2020
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

98 E Lake Mead Pkwy Ste 103
Henderson, NV 89015-6443

Mailing address

98 E Lake Mead Pkwy Ste 103
Henderson, NV 89015-6443
Phone (800) 787-2568

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
I20211017000001 NV Practitioner - Physician Assistant 9032517347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers, Inc CurrentSince Oct 12, 2021 Accepting new patients
Nevada Health Centers, Inc CurrentSince Oct 12, 2021 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Nevada Health Centers Inc. Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5432

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

618 W Musser St
Carson City, NV 89703
Phone (775) 445-3500

762 14th St
Elko, NV 89801
Phone (775) 738-5850

98 E Lake Mead Pkwy
Ste 103
Henderson, NV 89015
Phone (702) 765-5780

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

Interoperability endpoints

  • Direct secure messaging: vanessa.artienda.p1@direct.nevadahealthcenters.nextgenshare.com
  • Direct secure messaging: vartienda694818@direct.ochin.org

Organizations & group practices 7

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": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1376165985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E LAKE MEAD PKWY STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156443",
            "telephone_number": "800-787-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E LAKE MEAD PKWY STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156443",
            "telephone_number": "800-787-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTIENDA",
        "first_name": "VANESSA",
        "middle_name": "E R PULIDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.