Individual provider Active NPI

Mary Kirakosyan, APRN, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1396564282
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
842131 Issued in NV
Practice address
365 E Windmill LN Ste 200
Las Vegas, NV 89123-1876
Phone
(702) 250-3241
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 842131 NV Primary

Addresses

Primary practice location

365 E Windmill LN Ste 200
Las Vegas, NV 89123-1876

Mailing address

365 E Windmill LN Ste 200
Las Vegas, NV 89123-1876
Phone (702) 250-3241

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
842131NVMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1396564282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E WINDMILL LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231876",
            "telephone_number": "702-250-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E WINDMILL LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231876",
            "telephone_number": "702-250-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRAKOSYAN",
        "first_name": "MARY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "842131",
            "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 Mar 9, 2026; 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.