Afi Amouzou
Individual provider Active NPI Physician Assistant · North Las Vegas, NV
NPI 1649898404 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1649898404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2225 Civic Center Dr Ste 224
North Las Vegas, NV 89030-6332 - Phone
- (702) 214-5948
- Fax
- (702) 214-9439
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240601000473 | NV | Order and Referring Only - Physician Assistant | 6103215462 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Interoperability endpoints
- afi.amouzou.p1@direct.nevadahealthcenters.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | |||
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2225 Civic Center Dr Ste 224
North Las Vegas, NV 89030-6332
Mailing address
3325 Research Way
Carson City, NV 89706-7913
Phone (775) 888-6610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649898404 | Medicaid | NV |
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All providers in North Las Vegas, NV · Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.