Pahrump Pediatrics LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PAHRUMP PEDIATRICS LLC

Practice address

2270 Commercial Dr Unit 2
Pahrump, NV 89048-4704

Phone

(775) 318-9300

Fax

(775) 318-9318

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Veronica Marie Ibarra, APRNNPI 1053670190

Title

FNP-BC

Phone

(775) 318-9300

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Marie Ibarra, FNP-BC

  • Family Nurse Practitioner
  • Pahrump, NV
  • NPI 1053670190
  NPD Authorized official

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1427708585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E CALVADA BLVD STE A",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485833",
            "telephone_number": "775-318-9300",
            "fax_number": "775-318-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 COMMERCIAL DR UNIT 2",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484704",
            "telephone_number": "775-318-9300",
            "fax_number": "775-318-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHRUMP PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "775-318-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417162561",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053670190",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pahrump Imaging LLC
• Pahrump Internal Medicine
• Pahrump Medical Group LLC
• Pahrump Medical Supply Inc
• Pahrump Pain Free LLC
• Pahrump Senior Center, Inc.
• Pahrump SNF Operations, LLC
• Pahrump Valley Counseling LLC
• Pahrump Valley Pharmacy, LLC
• Pahrump'S Diversified Wellness Center LLC

• Family Nurse Practitioner in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.