Active NPI
Eileen Pablo Justo, APRN-CNP
- Acute Care Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 818049
- Practice address
- 6276 S Rainbow Blvd
Las Vegas, NV 89118-3242 - Phone
- (702) 220-5557
- Fax
- (702) 220-5565
- NPI assigned
- May 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 818049 | NV | Primary |
Addresses
Primary practice location
6276 S Rainbow Blvd
Las Vegas, NV 89118-3242
Mailing address
10239 Montes Vascos Dr
Las Vegas, NV 89178-8450
Phone (808) 375-6097
Other practice location 1
6276 S Rainbow Blvd
Las Vegas, NV 89118-3242
Phone (702) 220-5557
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4510 S Eastern Ave
Suite 4
Las Vegas, NV 89119-6118
Phone (725) 221-1568
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 818049 | NV | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malone-Davis Neurology PLLC | Current | Accepting new patients | |
| Mouchir S Harb MD LTD | Current | Accepting new patients |
Locations
4510 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 796-0201
6276 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 220-5557
2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613
7730 W Cheyenne Ave
Ste 107
Las Vegas, NV 89129
Phone (702) 240-8646
8020 S Rainbow Blvd
Ste 100
Las Vegas, NV 89139
Phone (432) 210-8950
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFABBD
Organizations & group practices 2
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.
-
- Neurology Physician
- Las Vegas, NV
- NPI 1932622750
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Las Vegas, NV
- NPI 1164647244
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1710742010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1689230500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10239 MONTES VASCOS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891788450",
"telephone_number": "808-375-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6276 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183242",
"telephone_number": "702-220-5557",
"fax_number": "702-220-5565"
}
],
"practiceLocations": [
{
"address_1": "6276 S Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891183242",
"country_code": "US",
"telephone_number": "702-220-5557",
"fax_number": "702-220-5565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSTO",
"first_name": "EILEEN",
"middle_name": "PABLO",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NV",
"license": "818049",
"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 May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.