Individual provider Active NPI

Svetlana Eveleigh, APRN

  • Primary Care Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1497009666
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN001448 Issued in NV
Practice address
1020 S Boulder Hwy
Henderson, NV 89015
Phone
(702) 791-9030
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000098 CA
Family Nurse Practitioner 363LF0000X APRN001448 NV
Primary Care Nurse Practitioner 363LP2300X APRN001448 NV Primary

Addresses

Primary practice location

1020 S Boulder Hwy
Henderson, NV 89015

Mailing address

1020 S Boulder Hwy
Henderson, NV 89015-8533
Phone (702) 791-9030

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
I20130115000331 NV Practitioner - Nurse Practitioner 6305099797 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000098CAMDFamily Nurse Practitioner
APRN001448NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Germin Clinical Neurology West CurrentSince Jun 15, 2013 Accepting new patients
Innotiv Germin CurrentSince Jun 1, 2013 Accepting new patients
Physicians to Home LLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

1399 Galleria Dr
Ste 203
Henderson, NV 89014
Phone (702) 804-1212

1691 W Horizon Ridge Pkwy
Henderson, NV 89012
Phone (702) 804-1212

2900 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89052
Phone (702) 281-1267

1691 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 450-8485

7751 W Flamingo Rd
Ste A100
Las Vegas, NV 89147
Phone (702) 804-6555

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1497009666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158533",
            "telephone_number": "702-791-9030",
            "fax_number": "702-856-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S BOULDER HWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89015",
            "telephone_number": "702-791-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELEIGH",
        "first_name": "SVETLANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000098",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001448",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APRN001448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.