Individual provider Active NPI

Denise Gomez-Castaneda

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1669241808
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
245447 Issued in AZ
Practice address
4040 S Eastern Ave
Las Vegas, NV 89119-0810
Phone
(702) 463-0300
NPI assigned
Dec 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 857488 NV
Family Nurse Practitioner 363LF0000X 245447 AZ Primary
Registered Nurse 163W00000X 857488 NV

Addresses

Primary practice location

4040 S Eastern Ave
Las Vegas, NV 89119-0810

Mailing address

9263 Albus Hills Ave
Las Vegas, NV 89143-1232
Phone (480) 259-2395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240506004179 AZ Practitioner - Nurse Practitioner 5991145039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
Banner Urgent Care Arizona LLCGroup PAC ID 3678749496, 47 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

13901 W Meeker Blvd
Sun City West, AZ 85375-4475
Phone (623) 465-6435

15521 W Bell Rd
Surprise, AZ 85374-3437
Phone (623) 465-6390

1676 E McMurray Blvd
Suite 1
Casa Grande, AZ 85122-4798
Phone (520) 316-0688

3247 E Bell Rd
PB1
Phoenix, AZ 85032-2707
Phone (602) 255-7655

4200 E Camelback Rd
Suite 106
Phoenix, AZ 85018-2718
Phone (602) 255-7590

4206 E Chandler Blvd
Suite 100
Phoenix, AZ 85048-8873
Phone (480) 827-5590

4232 W Bell Rd
Glendale, AZ 85308-4027
Phone (623) 465-6360

5018 N 7TH St
Phoenix, AZ 85014-3101
Phone (602) 255-7680

7952 N 43Rd Ave
Glendale, AZ 85301-1662
Phone (623) 465-6330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
857488NVMDRegistered Nurse
245447AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Jun 1, 2024 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Jun 1, 2024 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Arizona LLC Current Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

680 E Deuce of Clubs
Ste B
Show Low, AZ 85901
Phone (928) 537-2777

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

Organizations & group practices 6

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": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1669241808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 ALBUS HILLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891431232",
            "telephone_number": "480-259-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190810",
            "telephone_number": "702-463-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-CASTANEDA",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "857488",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "245447",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "857488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.