Individual provider Active NPI

Karen Aileen Rabago-Aquino

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1518533496
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
842082 Issued in NV
Practice address
7721 Wild Crest St
Las Vegas, NV 89149-1930
Phone
(702) 355-7547
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 842082 NV Primary

Addresses

Primary practice location

7721 Wild Crest St
Las Vegas, NV 89149-1930

Mailing address

7721 Wild Crest St
Las Vegas, NV 89149-1930
Phone (702) 355-7547

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL computer Direct
CONNECT URL n/a Health Information Exchange (HIE)
CONNECT URL computer

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
842082NVMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1518533496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 WILD CREST ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491930",
            "telephone_number": "702-355-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 WILD CREST ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491930",
            "telephone_number": "702-355-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABAGO-AQUINO",
        "first_name": "KAREN",
        "middle_name": "AILEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "842082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "7721 Wild Crest St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891491930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7721 Wild Crest St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891491930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "7721 Wild Crest St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891491930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.