Individual provider Active NPI

Dianelly Fernandez Santiesteban

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1518750736
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
889996 Issued in NV
Practice address
250 Pilot Rd
Las Vegas, NV 89119-3542
Phone
(725) 334-3276
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 889996 NV Primary

Addresses

Primary practice location

250 Pilot Rd
Las Vegas, NV 89119-3542

Mailing address

12814 N 115TH LN
El Mirage, AZ 85335-3963
Phone (602) 366-5548

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
889996NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1518750736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12814 N 115TH LN",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353963",
            "telephone_number": "602-366-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PILOT RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193542",
            "telephone_number": "725-334-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ SANTIESTEBAN",
        "first_name": "DIANELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "889996",
            "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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.