NPIMap

Individual provider Active NPI

Christina Herrera, DO

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1407340920
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0116032017 Issued in VA
Practice address
10105 Banburry Cross Dr Ste 170
Las Vegas, NV 89144-6647
Phone
(543) 770-2765
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0116032017 VA Primary

Addresses

Primary practice location

10105 Banburry Cross Dr Ste 170
Las Vegas, NV 89144-6647

Mailing address

10644 Sheepshead Bay Ave
Las Vegas, NV 89166-8016
Phone (702) 169-0603

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-6652

Other identifiers 1

IdentifierTypeStateIssuer
0116032017MedicaidVA

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116032017VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Lamotte Pediatrics, LLP Pediatrics Past Accepting new patients
Dignity Health Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Mountainview Medical Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1407340920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10644 SHEEPSHEAD BAY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891668016",
            "telephone_number": "702-169-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 BANBURRY CROSS DR STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446647",
            "telephone_number": "543-770-2765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0116032017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116032017",
            "state": "VA"
        }
    ],
    "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 Aug 6, 2021; 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.