Individual provider Active NPI

Amanda Vietti, APRN

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1699475152
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
868841 Issued in NV
Practice address
5155 Camino Al Norte
North Las Vegas, NV 89031-2359
Phone
(702) 707-7246
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 868841 NV Primary

Addresses

Primary practice location

5155 Camino Al Norte
North Las Vegas, NV 89031-2359

Mailing address

5155 Camino Al Norte
North Las Vegas, NV 89031-2359
Phone (702) 707-7246

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
I20241209000926 NV Practitioner - Nurse Practitioner 6204362759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Las Vegas Sports and Spine CenterGroup PAC ID 1658767462, 3 clinicians

Practice addresses (Care Compare)

6965 S Rainbow Blvd
Suite 110
Las Vegas, NV 89118-3281
Phone (702) 707-7246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Sports and Spine Center CurrentSince Oct 12, 2024 Accepting new patients

Locations

6850 N Durango Dr
Ste 218
Las Vegas, NV 89149
Phone (702) 202-3431

6965 S Rainbow Blvd
Ste 110
Las Vegas, NV 89118
Phone (702) 707-7246

7229 W Sahara Ave
Ste 100
Las Vegas, NV 89117

653 N Town Center Dr
Ste 510
Las Vegas, NV 89144
Phone (702) 448-5578

6402 McLeod Dr
Ste 1
Las Vegas, NV 89120
Phone (702) 707-7246

2208 S Nellis Blvd
Las Vegas, NV 89104
Phone (702) 475-9000

1009 S Cimarron Rd
Las Vegas, NV 89145
Phone (702) 707-7246

5155 Camino Al Norte
North Las Vegas, NV 89031
Phone (702) 707-7246

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1699475152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 CAMINO AL NORTE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312359",
            "telephone_number": "702-707-7246",
            "fax_number": "702-550-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 CAMINO AL NORTE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312359",
            "telephone_number": "702-707-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETTI",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "868841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.