Individual provider Active NPI

John Travis Blakemore, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1548837610
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
840749 Issued in NV
Practice address
3150 N Tenaya Way Ste 525
Las Vegas, NV 89128-0465
Phone
(725) 204-6520
Fax
(702) 441-7023
NPI assigned
Jun 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 840749 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way Ste 525
Las Vegas, NV 89128-0465

Mailing address

PO Box 100744
Atlanta, GA 30384-0744

Other practice location 1

3186 S Maryland Pkwy
Las Vegas, NV 89109-2306
Phone (702) 961-5000

Other practice location 2

3201 S Maryland Pkwy Ste 220
Las Vegas, NV 89109-2424
Phone (702) 961-7310

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
I20220131002388 NV Practitioner - Nurse Practitioner 4284027046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Todd Riggio MD PCGroup PAC ID 8729512264, 7 clinicians

Practice addresses (Care Compare)

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Todd Riggio MD PC Neurology CurrentSince Oct 1, 2024 Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

3150 N Tenaya Way
Ste 525
Las Vegas, NV 89128
Phone (702) 220-9865

8461 Farm Rd
Ste 120106
Las Vegas, NV 89131

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1548837610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100744",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY STE 525",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280465",
            "telephone_number": "725-204-6520",
            "fax_number": "702-441-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3186 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092306",
            "country_code": "US",
            "telephone_number": "702-961-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 S Maryland Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092424",
            "country_code": "US",
            "telephone_number": "702-961-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKEMORE",
        "first_name": "JOHN",
        "middle_name": "TRAVIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "840749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.