Individual provider Active NPI

Emmanuel Tetteh Agbottah, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1376977199
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002901 Issued in NV
Practice address
840 E Twain Ave Ste 137
Las Vegas, NV 89169-4025
Phone
(774) 262-9933
NPI assigned
Aug 28, 2013
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002901 NV Primary

Addresses

Primary practice location

840 E Twain Ave Ste 137
Las Vegas, NV 89169-4025

Mailing address

840 E Twain Ave Ste 137
Las Vegas, NV 89169-4025
Phone (774) 262-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180402002051 NV Practitioner - Nurse Practitioner 1153551031 Reassigns benefits to 2 organizations
I20260124000318 TX Practitioner - Nurse Practitioner 1153551031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yang Medical Services PLLCGroup PAC ID 7315275773, 37 clinicians

Practice addresses (Care Compare)

1181 Grier Dr
Suite C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. CurrentSince Jan 1, 2026 Accepting new patients
Yang Medical Services, PLLC CurrentSince Nov 20, 2020 Accepting new patients
Sacred Heart Wellness Center PLLC Family CurrentSince Nov 19, 2025 Accepting new patients
Urgent Home Health Care, Inc. PastSince Nov 19, 2025 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

5300 W Sahara Ave
Ste 201
Las Vegas, NV 89146
Phone (702) 462-9099

840 E Twain Ave
Ste 137
Las Vegas, NV 89169
Phone (702) 272-2709

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 6

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1376977199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E TWAIN AVE STE 137",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694025",
            "telephone_number": "774-262-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E TWAIN AVE STE 137",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694025",
            "telephone_number": "774-262-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOTTAH",
        "first_name": "EMMANUEL",
        "middle_name": "TETTEH",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.