Individual provider Active NPI

Lalaine Villahermosa, APRN FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1699333682
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
839427 Issued in NV
Practice address
10155 W Twain Ave
Las Vegas, NV 89147-6722
Phone
(702) 791-1400
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN46639 NV
Family Nurse Practitioner 363LF0000X 839427 NV Primary

Addresses

Primary practice location

10155 W Twain Ave
Las Vegas, NV 89147-6722

Mailing address

10155 W Twain Ave
Las Vegas, NV 89147-6722
Phone (702) 791-1400

Other practice location 1

1775 E Tropicana Ave Ste 16-17
Las Vegas, NV 89119-6529
Phone (702) 209-2827

Other names 1

  • Lalaine Ensalada Villahermosa Professional name

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
I20230224002525 NV Practitioner - Nurse Practitioner 5092147439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN46639NVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group LLC CurrentSince Jul 15, 2023 Accepting new patients
Nevada Integrated Healthcare Past Accepting new patients
Reliant Physicians (Kumar) PLLC PastSince Sep 24, 2023 Accepting new patients
Golden Days Behavioral Center LLC PastSince Oct 1, 2019 Accepting new patients

Locations

9315 W Sunset Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 638-7705

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1699333682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 W TWAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476722",
            "telephone_number": "702-791-1400",
            "fax_number": "702-209-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 W TWAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476722",
            "telephone_number": "702-791-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 E Tropicana Ave Ste 16-17",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196529",
            "country_code": "US",
            "telephone_number": "702-209-2827",
            "fax_number": "702-209-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAHERMOSA",
        "first_name": "LALAINE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN46639",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "839427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LALAINE",
            "last_name": "VILLAHERMOSA",
            "middle_name": "ENSALADA",
            "credential": "APRN FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.