Individual provider Active NPI

Francisco Antonio Barros Corpuz, ADVANCE NP

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1679846737
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001362 Issued in NV
Practice address
1219 E Charleston Blvd
Las Vegas, NV 89104-1708
Phone
(702) 633-5410
Fax
(702) 320-1639
NPI assigned
Feb 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN45455 NV
Licensed Practical Nurse 164W00000X APN001362 NV
Nurse Practitioner 363L00000X APRN001362 NV Primary

Addresses

Primary practice location

1219 E Charleston Blvd
Las Vegas, NV 89104-1708

Mailing address

1219 E Charleston Blvd
Las Vegas, NV 89104-1708
Phone (702) 633-5410

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
I20120412000563 NV Practitioner - Nurse Practitioner 9537320809 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN45455NVMDRegistered Nurse
APN001362NVMDLicensed Practical Nurse
APRN001362NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Medical Centers of Nevada, Inc. CurrentSince Jun 12, 2019 Accepting new patients

Locations

6045 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 444-7940

9310 S Eastern Ave
Ste 123
Las Vegas, NV 89123
Phone (702) 693-6222

6045 S Rainbow Blvd
Ste A
Las Vegas, NV 89118
Phone (702) 444-7940

4161 S Eastern Ave
Ste B3
Las Vegas, NV 89119
Phone (702) 693-5891

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1679846737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041708",
            "telephone_number": "702-633-5410",
            "fax_number": "702-320-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041708",
            "telephone_number": "702-633-5410",
            "fax_number": "702-320-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUZ",
        "first_name": "FRANCISCO ANTONIO",
        "middle_name": "BARROS",
        "credential": "ADVANCE NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN45455",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "APN001362",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.