Individual provider Active NPI

Natasha Hazel Paule Teotico, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1568162550
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
863754 Issued in NV
Practice address
3041 E Flamingo Rd Ste a
Las Vegas, NV 89121-7447
Phone
(702) 436-0835
NPI assigned
Mar 8, 2023
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 863754 NV Primary

Addresses

Primary practice location

3041 E Flamingo Rd Ste a
Las Vegas, NV 89121-7447

Mailing address

7405 Campbell Ranch Ave
Las Vegas, NV 89179-2025
Phone (702) 339-9008

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
I20230417000926 NV Practitioner - Nurse Practitioner 2567837982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albion Medical Group of Nevada, PCGroup PAC ID 4183891294, 23 clinicians

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0446
Phone (702) 869-9200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC CurrentSince Apr 10, 2023 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

3150 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 233-4950

Interoperability endpoints

  • Direct secure messaging: natasha.hazel.teotico.1@32527.direct.athenahealth.com
  • Direct secure messaging: natashahazel.teotico.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: natashahazel.teotico.p5@direct.caremorewest.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1568162550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 CAMPBELL RANCH AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891792025",
            "telephone_number": "702-339-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 E FLAMINGO RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217447",
            "telephone_number": "702-436-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEOTICO",
        "first_name": "NATASHA HAZEL",
        "middle_name": "PAULE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "863754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.