Active NPI
Rexel John Pablo Fabe, NP
- Gerontology Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1679235477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 845936
- Practice address
- 5992 Yellow Ridge Ave
Las Vegas, NV 89131-2136 - Phone
- (217) 819-1115
- NPI assigned
- Oct 8, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 845936 | NV | Primary |
Addresses
Primary practice location
5992 Yellow Ridge Ave
Las Vegas, NV 89131-2136
Mailing address
5992 Yellow Ridge Ave
Las Vegas, NV 89131-2136
Phone (217) 819-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 845936 | NV | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1679235477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5992 YELLOW RIDGE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312136",
"telephone_number": "217-819-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5992 YELLOW RIDGE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312136",
"telephone_number": "217-819-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABE",
"first_name": "REXEL JOHN",
"middle_name": "PABLO",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NV",
"license": "845936",
"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 Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.