Individual provider Active NPI

Sylah Reah Alcantara Mamaclay

  • Home Health Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1386438083
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
863345 Issued in NV
Practice address
3161 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3144
Phone
(702) 463-1011
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 863345 NV Primary

Addresses

Primary practice location

3161 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3144

Mailing address

6258 Angora Peak LN
Las Vegas, NV 89115-1662
Phone (702) 234-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
863345NVMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1386438083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6258 ANGORA PEAK LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151662",
            "telephone_number": "702-234-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 E WARM SPRINGS RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203144",
            "telephone_number": "702-463-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMACLAY",
        "first_name": "SYLAH REAH",
        "middle_name": "ALCANTARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NV",
            "license": "863345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.