Individual provider Active NPI

Linda Churchwell, APN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1447221221
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN000816 Issued in NV
Practice address
8680 W Cheyenne Ave
Las Vegas, NV 89129-7458
Phone
(702) 750-3425
Fax
(702) 750-3434
NPI assigned
Jan 30, 2006
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN000816 NV Primary

Addresses

Primary practice location

8680 W Cheyenne Ave
Las Vegas, NV 89129-7458

Mailing address

PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 750-3425

Other identifiers 2

IdentifierTypeStateIssuer
100505654MedicaidNV
100504952MedicaidNV

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
I20041208001001 NV Practitioner - Nurse Practitioner 0345132999 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000816NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc CurrentSince Dec 3, 2004 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 10, 2019 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 10, 2019 Accepting new patients
Cardiovascular Associates of Mesa P C Past Accepting new patients
Tri-City Cardiology Consultants, PC Past Accepting new patients
Linda L. Johnson MD, LTD Past Accepting new patients
Tri-City Cardiology Consultants, PC Past Accepting new patients

Locations

300 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 564-5776

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

8680 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 750-3425

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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, 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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1447221221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15645",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891145645",
            "telephone_number": "702-750-3425",
            "fax_number": "702-750-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297458",
            "telephone_number": "702-750-3425",
            "fax_number": "702-750-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHWELL",
        "first_name": "LINDA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505654",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504952",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.