Organization Active NPI

Emerald Medical Center LLC

Doing business as Emerald Medical Center

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1679169767
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
EMERALD MEDICAL CENTER LLC
Doing business as
Emerald Medical Center
Practice address
2950 E Flamingo Rd Ste B
Las Vegas, NV 89121-5208
Phone
(702) 780-5875
Fax
(702) 920-8493
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Emerald Sonico, NP
Title
Owner
Phone
(702) 780-5875

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2950 E Flamingo Rd Ste B
Las Vegas, NV 89121-5208

Mailing address

2950 E Flamingo Rd Ste B
Las Vegas, NV 89121-5208
Phone (702) 780-5875

Other names 1

  • Emerald Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL icanotes Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1679169767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "702-780-5875",
            "fax_number": "702-920-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "702-780-5875",
            "fax_number": "702-920-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2023-01-31",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "SONICO",
        "authorized_official_first_name": "EMERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-780-5875",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "icanotes",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2950 E Flamingo Rd Ste B",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Emerald Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emerald Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.