Individual provider Active NPI

Joy Katherine Venglik, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1447878533
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
830000 Issued in NV
Practice address
4980 W Sahara Ave
Las Vegas, NV 89146-3402
Phone
(702) 216-7365
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 830000 NV Primary

Addresses

Primary practice location

4980 W Sahara Ave
Las Vegas, NV 89146-3402

Mailing address

608 Cervantes Dr
Henderson, NV 89014-4023
Phone (702) 927-2780

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
I20250414003273 NV Practitioner - Nurse Practitioner 6103340997 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC CurrentSince Apr 21, 2025 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

Interoperability endpoints

  • Direct secure messaging: joy.venglik.1@32527.direct.athenahealth.com
  • Direct secure messaging: joy.venglik.p5@direct.caremorewest.nextgenshare.com

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": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1447878533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 CERVANTES DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144023",
            "telephone_number": "702-927-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463402",
            "telephone_number": "702-216-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENGLIK",
        "first_name": "JOY",
        "middle_name": "KATHERINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "830000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.