Individual provider Active NPI

Julia K Benko

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1376205583
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
830486 Issued in NV
Practice address
2481 Professional CT
Las Vegas, NV 89128-0825
Phone
(702) 382-1599
NPI assigned
Oct 6, 2021
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 830486 NV Primary
Primary Care Nurse Practitioner 363LP2300X TEMP830486 NV

Addresses

Primary practice location

2481 Professional CT
Las Vegas, NV 89128-0825

Mailing address

10645 Redwood Grove Ave
Las Vegas, NV 89144-1418
Phone (702) 372-4494

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
I20220425000808 NV Practitioner - Nurse Practitioner 6305233230 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
830486NVMDFamily Nurse Practitioner
TEMP830486NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Nevada Asplin PC CurrentSince Jan 18, 2022 Accepting new patients

Locations

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

2481 Professional Ct
Las Vegas, NV 89128
Phone (702) 213-8253

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1376205583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 REDWOOD GROVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441418",
            "telephone_number": "702-372-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 PROFESSIONAL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280825",
            "telephone_number": "702-382-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKO",
        "first_name": "JULIA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "830486",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "TEMP830486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.