Individual provider Active NPI

Gilson Antonio Da Silva Junior

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1447109103
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
897974 Issued in NV
Practice address
319 Mount Barcroft Dr
Henderson, NV 89015-7662
Phone
(725) 400-7810
NPI assigned
Jan 26, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 897974 NV Primary

Addresses

Primary practice location

319 Mount Barcroft Dr
Henderson, NV 89015-7662

Mailing address

319 Mount Barcroft Dr
Henderson, NV 89015-7662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
897974NVMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1447109103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MOUNT BARCROFT DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MOUNT BARCROFT DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157662",
            "telephone_number": "725-400-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA SILVA JUNIOR",
        "first_name": "GILSON ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "897974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.