Individual provider Active NPI

Ashley Bacab-Delacruz

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1447961990
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
810169 Issued in NV
Practice address
7455 W Washington Ave Ste 140
Las Vegas, NV 89128-4349
Phone
(702) 805-1425
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 810169 NV
Primary Care Nurse Practitioner 363LP2300X 810169 NV Primary

Addresses

Primary practice location

7455 W Washington Ave Ste 140
Las Vegas, NV 89128-4349

Mailing address

9124 Diamond Lake Ave
Las Vegas, NV 89129-7065

Other names 1

  • Ashley Bacab Former name

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
I20250422002558 NV Practitioner - Nurse Practitioner 9032634050 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
810169NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theravada Mental Health LLC CurrentSince Feb 21, 2026 Accepting new patients
The Parkey Group, LLC Psychiatric/Mental Health CurrentSince Sep 23, 2025 Accepting new patients

Locations

2445 Fire Mesa St
Ste 270
Las Vegas, NV 89128
Phone (702) 212-3008

6625 W Sahara Ave
Ste 8
Las Vegas, NV 89146
Phone (725) 230-8526

2701 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 757-8720

1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1447961990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9124 DIAMOND LAKE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284349",
            "telephone_number": "702-805-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACAB-DELACRUZ",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "810169",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "810169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BACAB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.