Angela Regina Detie, APN,CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APN0512 Issued in NV

Practice address

870 Seven Hills Dr Ste 103
Henderson, NV 89052-4378

Phone

(725) 777-0414

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.detie.1@27017.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27017/brand/9/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

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.

• Iriye Medical Group PLLC

  dba High Risk Pregnancy Center

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
  • NPI 1467496240
  Medicare reassignment Care Compare group NPD
• Las Vegas Medical Group LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1447656988
  Medicare reassignment NPD
• Healthcare Partners Medical Group Coats LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1487631917
  NPD
• Henderson Hospital

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1003281452
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1548229768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524378",
            "telephone_number": "725-777-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SEVEN HILLS DR STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524378",
            "telephone_number": "725-777-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETIE",
        "first_name": "ANGELA",
        "middle_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "APN,CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "APN0512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER ID",
            "identifier": "CC8630",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADACARE PROVIDER ID",
            "identifier": "151678",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402016",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mischa Desmond
• Anthony Desoasido, DO
• Destinations to Recovery, LLC
• Destiny Wellness Center LLC
• Alan Detiberiis, A.PATH, DNP
• Linda Rhee Devaull, RN
• Cassie Devine
• Andrew Devito
• Susan J Devito
• Mackenzie Robert Dewar, MFT-INTERN

• Advanced Practice Midwife in Henderson, NV
• Providers in Henderson, NV by specialty
• Advanced Practice Midwife in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.