Aisha Carrillo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN17500 Issued in NV

Practice address

1800 Industrial Rd Ste 100
Las Vegas, NV 89102-2685

Phone

(702) 474-4104

NPI assigned

Sep 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nurselink Home Health, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1437931540
  NPD Authorized official
• Mission Treatment Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1245719335
  NPD (past)

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689193864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 INDUSTRIAL RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022685",
            "telephone_number": "702-474-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 INDUSTRIAL RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022685",
            "telephone_number": "702-474-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "AISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN17500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LPN17500",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17500",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion Carriere
• Demond Carrigan
• Jacqueline Carrillo Fernandez
• Arthur Carrillo Jr
• Berenice De Jesus Carrillo Raygoza, ABELLERA
• Alicia Carrillo
• Alvaro Carrillo
• Andrea Carrillo
• Antioco Carrillo
• Beatriz Carrillo

• Licensed Practical Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.