Active NPI
Stella Javines Rabara, NP
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1679086706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN002738
- Practice address
- 9958 Corbridge St
Las Vegas, NV 89178-3821 - Phone
- (702) 677-2654
- NPI assigned
- Nov 11, 2017
- Last updated
- Nov 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.