Individual provider Active NPI

Juliana Alegre Palijo, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1487995965
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001471 Issued in NV
Practice address
3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone
(702) 971-2300
Fax
(702) 903-4447
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 001471 NV
Pediatric Nurse Practitioner 363LP0200X 001471 NV
Pediatric Nurse Practitioner 363LP0200X APRN001471 NV
Family Nurse Practitioner 363LF0000X APN001471 NV Primary

Addresses

Primary practice location

3312 W Charleston Blvd
Las Vegas, NV 89102-1829

Mailing address

3100 W Charleston Blvd
Suite 210
Las Vegas, NV 89102-2023
Phone (702) 388-4428

Other practice location 1

3100 W Charleston Blvd
Suite 210
Las Vegas, NV 89102-2023
Phone (702) 388-4428

Other identifiers 1

IdentifierTypeStateIssuer
1487995965MedicaidNV

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
I20130530000484 NV Practitioner - Nurse Practitioner 5698913739 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001471NVMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrans Medical Nevada Casal PLLC Current Accepting new patients
Homebase Care Casal PLLC CurrentSince Apr 1, 2020 Accepting new patients
Homebase Care Casal PLLC CurrentSince Apr 1, 2020 Accepting new patients
Inpatient Consultants of Nevada, Inc. a Medical Corporation Past Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

5412 Boulder Hwy
Las Vegas, NV 89122

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICDDBA/Endpoint/ICDDBA

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": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1487995965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022023",
            "telephone_number": "702-388-4428",
            "fax_number": "702-388-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021829",
            "telephone_number": "702-971-2300",
            "fax_number": "702-903-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 W Charleston Blvd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022023",
            "country_code": "US",
            "telephone_number": "702-388-4428",
            "fax_number": "702-388-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALIJO",
        "first_name": "JULIANA",
        "middle_name": "ALEGRE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "001471",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NV",
            "license": "001471",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NV",
            "license": "APRN001471",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487995965",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.