Rowell Udalve, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F12210389 Issued in NV

Practice address

6240 N Durango Dr Ste 120
Las Vegas, NV 89149-3941

Phone

(954) 923-7440

Fax

(954) 923-1299

NPI assigned

Feb 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• WT Health of Nevada LLC

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1639961931
  Medicare reassignment NPD
• Minghsun Liu MD PC

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1982002283
  Medicare reassignment

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689320137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S PARK RD STE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218541",
            "telephone_number": "954-923-7440",
            "fax_number": "954-923-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 N DURANGO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493941",
            "telephone_number": "954-923-7440",
            "fax_number": "954-923-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 Ranch House Rd Unit 12",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890314608",
            "country_code": "US",
            "telephone_number": "702-882-8588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDALVE",
        "first_name": "ROWELL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "F12210389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250018501",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Enrique UC CHI
• Alvin Lourenz E Ucab, APRN, NP-C
• Chukwudum Uche, MD
• Foluke Adeyinka Uche, MD
• Sasuke Uchiha
• Cesar P Udani, MD
• Uday R Saraiya MD LTD
• Alexander Udell, D.O.
• Janee Chinyelu Udensi
• John Ndubuisi Udo, FNP, APRN

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.