Individual provider Active NPI

Stella Javines Rabara, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1679086706
Registry record updated Nov 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002738 Issued in NV
Practice address
9958 Corbridge St
Las Vegas, NV 89178-3821
Phone
(702) 677-2654
NPI assigned
Nov 11, 2017
Last updated
Nov 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002738 NV Primary

Addresses

Primary practice location

9958 Corbridge St
Las Vegas, NV 89178-3821

Mailing address

9958 Corbridge St
Las Vegas, NV 89178-3821
Phone (702) 677-2654

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
I20180509000572 NV Practitioner - Nurse Practitioner 5799049250 Reassigns benefits to 1 organization

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: stella.rabaranp.p1@direct.afh.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510358400000",
    "number": "1679086706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9958 CORBRIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891783821",
            "telephone_number": "702-677-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9958 CORBRIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891783821",
            "telephone_number": "702-677-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABARA",
        "first_name": "STELLA",
        "middle_name": "JAVINES",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2017-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.