Individual provider Active NPI

Siranush Khaladzhyan, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1427780030
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
855350 Issued in NV
Practice address
8297 Palace Heights Ave
Las Vegas, NV 89117-9151
Phone
(702) 800-7831
Fax
(877) 409-2014
NPI assigned
Jun 30, 2022
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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 855350 NV Primary

Addresses

Primary practice location

8297 Palace Heights Ave
Las Vegas, NV 89117-9151

Mailing address

1452 W Horizon Ridge Pkwy Ste 566
Henderson, NV 89012-4422
Phone (702) 800-7831

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117002947 NV Practitioner - Nurse Practitioner 7618348368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Las Vegas, NV 89121
Phone (725) 303-0580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
855350NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siranush Khaladzhyan PLLC Nurse Practitioner CurrentSince Jul 29, 2025 Accepting new patients
Edgar Evangelista MD PC Nurse Practitioner CurrentSince May 5, 2024 Accepting new patients

Locations

1452 W Horizon Ridge Pkwy
Ste 566
Henderson, NV 89012

2110 E Flamingo Rd
Ste 201
Las Vegas, NV 89119
Phone (702) 492-8000

3430 E Flamingo Rd
Ste 215
Las Vegas, NV 89121
Phone (702) 485-3450

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1427780030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 W HORIZON RIDGE PKWY STE 566",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124422",
            "telephone_number": "702-800-7831",
            "fax_number": "877-409-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8297 PALACE HEIGHTS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179151",
            "telephone_number": "702-800-7831",
            "fax_number": "877-409-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALADZHYAN",
        "first_name": "SIRANUSH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "855350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.