Active NPI
Dulce Novakovic, APRN
- Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11014835
- Practice address
- 8680 W Cheyenne Ave
Las Vegas, NV 89129-7458 - Phone
- (702) 797-2353
- NPI assigned
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 815959 | NV | |
| Nurse Practitioner | 363L00000X | APRN11014835 | FL | Primary |
Addresses
Primary practice location
8680 W Cheyenne Ave
Las Vegas, NV 89129-7458
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 954-7678
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dulce.novakovic@direct.moffitt.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11014835 | FL | MD | Nurse Practitioner |
| 815959 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Family Home Hospice, Inc. | Current | Accepting new patients |
Locations
8655 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 468-8662
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
653 N Town Center Dr
Ste 402
Las Vegas, NV 89144
Phone (702) 243-7200
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
8680 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 750-3425
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1093793028
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1396214375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-954-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8680 W CHEYENNE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891297458",
"telephone_number": "702-797-2353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAKOVIC",
"first_name": "DULCE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "815959",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11014835",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dulce.novakovic@direct.moffitt.org",
"affiliation": "N",
"address_1": "12902 Usf Magnolia Dr",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336129416",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.