Individual provider Active NPI

Easterlyn Mendoza Cacho, APRN CNP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1578036919
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
815323 Issued in NV
Practice address
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone
(702) 853-3142
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 815323 NV
Nurse Practitioner 363L00000X 815323 NV Primary

Addresses

Primary practice location

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859

Mailing address

1517 Barrington Oaks St
North Las Vegas, NV 89084-2042

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
I20211028001276 NV Practitioner - Nurse Practitioner 9739577560 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Medical Group LLC Nurse Practitioner CurrentSince Dec 6, 2021 Accepting new patients

Locations

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

Interoperability endpoints

  • Direct secure messaging: lyn.cacho.1@15442.direct.athenahealth.com

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1578036919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 BARRINGTON OAKS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181859",
            "telephone_number": "702-853-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO",
        "first_name": "EASTERLYN",
        "middle_name": "MENDOZA",
        "credential": "APRN CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "815323",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "815323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.