Individual provider Active NPI

Edna Galinato Chua, APRN

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1558770289
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN001465 Issued in NV
Practice address
5300 Spring Mountain Rd
Ste 112
Las Vegas, NV 89146-8718
Phone
(702) 362-6373
NPI assigned
Aug 6, 2014
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN001465 NV Primary

Addresses

Primary practice location

5300 Spring Mountain Rd
Ste 112
Las Vegas, NV 89146-8718

Mailing address

5300 Spring Mountain Rd
Ste 112
Las Vegas, NV 89146-8724
Phone (702) 362-6373

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1558770289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SPRING MOUNTAIN RD",
            "address_2": "STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468724",
            "telephone_number": "702-362-6373",
            "fax_number": "702-362-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SPRING MOUNTAIN RD",
            "address_2": "STE 112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468718",
            "telephone_number": "702-362-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUA",
        "first_name": "EDNA",
        "middle_name": "GALINATO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APRN001465",
            "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 Jun 29, 2016; 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.