Individual provider Active NPI

Lia Donna Velasquez Dela Cruz, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1669896080
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
887977 Issued in NV
Practice address
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone
(702) 810-8375
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 680264 NY
Nurse Practitioner 363L00000X 95034185 CA
Family Nurse Practitioner 363LF0000X 887977 NV Primary

Addresses

Primary practice location

6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615

Mailing address

Box 91 2978 John F Kennedy Blvd
Jersey City, NJ 07306-3820
Phone (702) 275-8947

Other names 1

  • Felipa Marie Lia Donna Velasquez Dela Cruz Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408002706 NV Practitioner - Nurse Practitioner 0648794941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naz Wahab MD PCGroup PAC ID 4082630512, 13 clinicians

Practice addresses (Care Compare)

6070 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
680264NYMDRegistered Nurse
95034185CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naz Wahab MD PC Family CurrentSince Apr 1, 2025 Accepting new patients
Reliant Physicians (Kumar) PLLC PastSince Jan 23, 2023 Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

2851 N Tenaya Way
Ste 101
Las Vegas, NV 89128
Phone (702) 309-4878

821 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 438-4003

6070 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 307-7700

8425 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 202-2060

5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260

Organizations & group practices 2

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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1669896080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 91 2978 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063820",
            "telephone_number": "702-275-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-810-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "LIA DONNA",
        "middle_name": "VELASQUEZ",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "680264",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95034185",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "887977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELIPA MARIE LIA DONNA",
            "last_name": "DELA CRUZ",
            "middle_name": "VELASQUEZ",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.