Individual provider Active NPI

Charleigh Ann Allen

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1679384895
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
824196 Issued in NV
Practice address
1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150
Phone
(702) 563-4265
Fax
(702) 991-4058
NPI assigned
Jan 16, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 824196 NV
Nurse Practitioner 363L00000X 824196 NV Primary

Addresses

Primary practice location

1700 Wheeler Peak Dr
Las Vegas, NV 89106-2150

Mailing address

3325 Research Way
Carson City, NV 89706-7913
Phone (702) 220-9902

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
I20250604004023 NV Practitioner - Nurse Practitioner 4385153824 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
824196NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers, Inc CurrentSince Mar 31, 2025 Accepting new patients
Nevada Health Centers Inc CurrentSince Mar 31, 2025 Accepting new patients
Nevada Health Centers, Inc Current Accepting new patients
Nevada Health Centers Inc Past Accepting new patients

Locations

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

98 E Lake Mead Pkwy
Ste 103
Henderson, NV 89015
Phone (702) 765-5780

1700 Wheeler Peak Dr
Las Vegas, NV 89106
Phone (702) 383-2565

1799 Mount Mariah Dr
Las Vegas, NV 89106
Phone (702) 383-1961

2212 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 735-9334

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

691 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 430-9996

1312 E Tonopah Ave
North Las Vegas, NV 89030
Phone (702) 220-9905

2225 Civic Center Dr
Ste 224
North Las Vegas, NV 89030
Phone (702) 214-5948

Interoperability endpoints

  • Direct secure messaging: callen777877@direct.ochin.org

Organizations & group practices 4

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": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1679384895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913",
            "telephone_number": "702-220-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHEELER PEAK DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062150",
            "telephone_number": "702-563-4265",
            "fax_number": "702-991-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHARLEIGH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "824196",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "824196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.