Active NPI
Denise Gomez-Castaneda
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 245447
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 857488 | NV | MD | Registered Nurse |
| 245447 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Urgent Care Services, LLC | Current | Accepting new patients | |
| Banner Urgent Care Arizona LLC | Current | Accepting new patients | |
| Banner Urgent Care Services, LLC | Current | Accepting new patients | |
| Banner Urgent Care Arizona LLC | Current | 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.
-
- Urgent Care Clinic/Center
- Casa Grande, AZ
- NPI 1316349855
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1609229764
-
- Urgent Care Clinic/Center
- Payson, AZ
- NPI 1194369074
-
- Urgent Care Clinic/Center
- Lakeside, AZ
- NPI 1831733716
-
- Urgent Care Clinic/Center
- San Tan Valley, AZ
- NPI 1942653019
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1962855031
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.