Active NPI
Joanna Sordan Dela Pena, FNP-BC
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021118355
- Practice address
- 11009 Meadow Leaf Ave
Las Vegas, NV 89144-4564 - Phone
- (702) 601-6221
- NPI assigned
- Mar 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021118355 | NV | Primary |
| Registered Nurse | 163W00000X | RN98064 | NV |
Addresses
Primary practice location
11009 Meadow Leaf Ave
Las Vegas, NV 89144-4564
Mailing address
11009 Meadow Leaf Ave
Las Vegas, NV 89144-4564
Phone (702) 601-6221
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
855 E Twain Ave
Suite 103
Las Vegas, NV 89169-0820
Phone (702) 591-3381
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021118355 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Medical Alliance Inc. | Current | Accepting new patients | |
| Get Well House Calls LLC | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients | |
| Southern Nevada Adult Mental Health | Current | Accepting new patients | |
| Advanced Care & Wellness Center LLC | Family | Current | Accepting new patients |
| Instamobile Gregbairdnv PLLC | Current | Accepting new patients |
Locations
4150 Technology Way
Ste 100
Carson City, NV 89706
1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420
9510 W Sahara Ave
Ste 225
Las Vegas, NV 89117
Phone (702) 518-5144
6268 Spring Mountain Rd
Ste 115
Las Vegas, NV 89146
Phone (725) 204-1017
855 E Twain Ave
Ste 103
Las Vegas, NV 89169
Phone (702) 591-3381
6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400
3160 S Valley View Blvd
Ste 203
Las Vegas, NV 89102
Phone (702) 693-4202
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1265269328
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ely, NV
- NPI 1760572010
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1659995090
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1033744438
-
- Adult Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1891756920
-
- Skilled Nursing Facility
- Boulder City, NV
- NPI 1083612741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1619625225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11009 MEADOW LEAF AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444564",
"telephone_number": "702-601-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11009 MEADOW LEAF AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444564",
"telephone_number": "702-601-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA PENA",
"first_name": "JOANNA",
"middle_name": "SORDAN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-13",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "2021118355",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN98064",
"primary": false
}
],
"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 Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.