Active NPI
Nakayla Chan
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1407488653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2760
- Practice address
- 3150 N Tenaya Way Ste 260
Las Vegas, NV 89128-0459 - Phone
- (702) 962-5920
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2760 | NV | Primary |
Addresses
Primary practice location
3150 N Tenaya Way Ste 260
Las Vegas, NV 89128-0459
Mailing address
PO Box 100744
Atlanta, GA 30384-4129
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2760 | NV | MD | Physician Assistant |
Interoperability endpoints
- nakayla.chan@hca3.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1407488653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100744",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303844129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 N TENAYA WAY STE 260",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280459",
"telephone_number": "702-962-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "NAKAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2760",
"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 Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.