Active NPI
Robert Allen Fares, APRN FNP
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 864097
- Practice address
- 6190 W Lake Mead Blvd
Las Vegas, NV 89108-2661 - Phone
- (725) 293-4224
- Fax
- (725) 293-5359
- NPI assigned
- Feb 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 864097 | NV | Primary |
Addresses
Primary practice location
6190 W Lake Mead Blvd
Las Vegas, NV 89108-2661
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
804 Coliseum Ln
Las Vegas, NV 89144-1244
Phone (801) 831-7340
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
- May accept Medicare assignment
Practice addresses (Care Compare)
102 Woodmont Blvd
Suite 600
Nashville, TN 37205-5250
2460 Paseo Verde Pkwy
Suite 145
Henderson, NV 89074-7135
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 864097 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khakwani Medical Corporation, PC | Current | Accepting new patients | |
| Archwell Health Professional Services of Nevada, P.C. | Current | Accepting new patients | |
| Khakwani Medical Corporation, PC | Past | Accepting new patients | |
| Khakwani Medical Corporation, PC | Past | Accepting new patients | |
| Khakwani Medical Corporation, PC | Past | Accepting new patients | |
| Khakwani Medical Corporation, PC | Past | Accepting new patients | |
| Khakwani Medical Corporation, PC | Past | Accepting new patients |
Locations
1135 Vitality Dr
Ste 120
Henderson, NV 89011
Phone (702) 359-7403
366 W Lake Mead Pkwy
Ste 100
Henderson, NV 89015
Phone (702) 359-5210
1501 W Sunset Rd
Henderson, NV 89014
Phone (725) 269-7001
2460 Paseo Verde Pkwy
Ste 145
Henderson, NV 89074
2231 N Green Valley Pkwy
#B
Henderson, NV 89014
Phone (702) 766-1972
6190 W Lake Mead Blvd
Las Vegas, NV 89108
Phone (725) 293-4224
10040 Alta Dr
Ste 100B
Las Vegas, NV 89145
Phone (702) 960-0689
3140 S Durango Dr
Ste 100B
Las Vegas, NV 89117
Phone (702) 273-3680
6525 N Decatur Blvd
Ste 150B
Las Vegas, NV 89131
Phone (702) 979-5903
4950 W Sahara Ave
Ste 100B
Las Vegas, NV 89146
Phone (702) 577-9773
6975 Aliante Pkwy
Ste 101B
North Las Vegas, NV 89084
Phone (702) 867-0087
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
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.
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- NPI 1801304043
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- Family Medicine Physician
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- NPI 1073341079
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1134847965
-
- Family Medicine Physician
- North Las Vegas, NV
- NPI 1366284143
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1407517436
-
- Family Medicine Physician
- Henderson, NV
- NPI 1700468204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1629774666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 W LAKE MEAD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891082661",
"telephone_number": "725-293-4224",
"fax_number": "725-293-5359"
}
],
"practiceLocations": [
{
"address_1": "804 Coliseum Ln",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891441244",
"country_code": "US",
"telephone_number": "801-831-7340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARES",
"first_name": "ROBERT",
"middle_name": "ALLEN",
"credential": "APRN FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-01",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "864097",
"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 Jan 7, 2026; 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.