Active NPI
Martha Julia Cisneros, NP
- Obstetrics & Gynecology Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1467595462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- NP6027
- Practice address
- 888 S Rancho Dr
Las Vegas, NV 89106-3831 - Phone
- (702) 877-8690
- Fax
- (702) 877-5341
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | APN000929 | NV | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NP6027 | CA | Primary |
Addresses
Primary practice location
888 S Rancho Dr
Las Vegas, NV 89106-3831
Mailing address
330 West Las Tunas Drive
San Gabriel, CA 91176
Phone (626) 284-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP6027 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
| APN000929 | NV | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1467595462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 WEST LAS TUNAS DRIVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "91176",
"telephone_number": "626-284-3300",
"fax_number": "626-284-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S RANCHO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063831",
"telephone_number": "702-877-8690",
"fax_number": "702-877-5341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "MARTHA",
"middle_name": "JULIA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NV",
"license": "APN000929",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "NP6027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.