Individual provider Active NPI

Ileana Alexandra Miron Yee

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1578024642
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
818911 Issued in NV
Practice address
2649 Wigwam Pkwy
Henderson, NV 89074-7367
Phone
(702) 489-4500
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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 818911 NV Primary

Addresses

Primary practice location

2649 Wigwam Pkwy
Henderson, NV 89074-7367

Mailing address

2315 Caserta CT
Henderson, NV 89074-5317
Phone (702) 481-1828

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
I20190924003707 NV Practitioner - Nurse Practitioner 0840520433 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sameera Sbaih MD Prof Corp CurrentSince Jun 29, 2019 Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

2649 Wigwam Pkwy
Ste 100
Henderson, NV 89074
Phone (702) 452-3002

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.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1578024642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 CASERTA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745317",
            "telephone_number": "702-481-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747367",
            "telephone_number": "702-489-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRON YEE",
        "first_name": "ILEANA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.