Dominique Nimallah

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

871748 Issued in NV

Practice address

1524 Pinto LN FL 2
Las Vegas, NV 89106-4195

Phone

(702) 992-6888

Fax

(702) 676-3621

NPI assigned

Jan 30, 2017

Last updated

May 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Reliant Physicians Kumar PLLCGroup PAC ID 3577893965, 37 clinicians

Res Wound Care PLLCGroup PAC ID 8123548914, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lorian Health Home health agency, Las Vegas, NV, CCN 297099
• Ultimate Home Health Home health agency, Las Vegas, NV, CCN 297260

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Reliant Physicians (Kumar) PLLC

  dba Reliant Palliative Care

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1093285462
  Medicare reassignment Care Compare group NPD
• Res Wound Care PLLC

  dba RES Medical

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1265248736

  Family

  Medicare reassignment Care Compare group NPD
• Unlv Medicine

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1407397235
  Medicare reassignment NPD
• Unlv Medicine

  dba Mojave Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1184152274
  NPD
• Unlv Medicine

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1538694575
  NPD
• Reliant Physicians (Kumar) PLLC

  dba ReliantHealth

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1194477240
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lorian Home Systems, Inc. of Las Vegas

  dba Lorian Health

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1891853305
  Care Compare affiliation
• Ultimate Rehab Services LTD

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1144750589
  Care Compare affiliation

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1528505427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021973",
            "telephone_number": "702-780-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 PINTO LN FL 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064195",
            "telephone_number": "702-992-6888",
            "fax_number": "702-676-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 Bluejay Cir",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891463001",
            "country_code": "US",
            "telephone_number": "248-943-1719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIMALLAH",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "871748",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Nillo
• Minerva Nilo, LCSW
• Nilofar Kuraishi MD
• Tylan Nilson
• Robin Lynn Nilsson
• Alissara Gena Nimsuwan, DMD
• Karen Nine, LPN
• Eric Quang Ninh, DO
• Luisa Nino-Romero
• Mauricio Eduardo Nino, MD

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.