Individual provider Active NPI

Sandra Noemi Traconis, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1487322038
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
845490 Issued in NV
Practice address
216 N Lamb Blvd
Las Vegas, NV 89110-4674
Phone
(702) 459-2401
Fax
(702) 459-2405
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 845490 NV Primary

Addresses

Primary practice location

216 N Lamb Blvd
Las Vegas, NV 89110-4674

Mailing address

9425 Low Tide CT
Las Vegas, NV 89117-0279
Phone (702) 245-5143

Other names 1

  • Ms. Sandra Noemi Sanchez Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address straconis@clinicamedicadelpueblo.com Health Information Exchange (HIE)

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
I20211227000239 NV Practitioner - Nurse Practitioner 3173914306 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yang Medical Services, PLLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

Interoperability endpoints

  • Direct secure messaging: sandra.traconisnp.p1@direct.afh.nextgenshare.com

Organizations & group practices 1

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1487322038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 LOW TIDE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170279",
            "telephone_number": "702-245-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N LAMB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104674",
            "telephone_number": "702-459-2401",
            "fax_number": "702-459-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACONIS",
        "first_name": "SANDRA",
        "middle_name": "NOEMI",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "845490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "straconis@clinicamedicadelpueblo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "216 N Lamb Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891104674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SANCHEZ",
            "middle_name": "NOEMI",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.