Individual provider Active NPI

Tiffany Nanilei Cabos, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1700631447
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
876243 Issued in NV
Practice address
4045 Spencer St Ste 116
Las Vegas, NV 89119-5246
Phone
(702) 780-6200
Fax
(888) 433-5792
NPI assigned
Apr 17, 2024
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 876243 NV Primary

Addresses

Primary practice location

4045 Spencer St Ste 116
Las Vegas, NV 89119-5246

Mailing address

4045 Spencer St Ste 116
Las Vegas, NV 89119-5246
Phone (702) 780-6200

Other practice location 1

3247 S Maryland Pkwy
Las Vegas, NV 89109-2412
Phone (702) 755-9550

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
I20251104003770 NV Practitioner - Nurse Practitioner 2365932837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deepa Hasija MDGroup PAC ID 6901183284, 8 clinicians

Practice addresses (Care Compare)

4045 Spencer St
Suite 116
Las Vegas, NV 89119-5246
Phone (702) 780-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
876243NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deepa Hasija MD CurrentSince Aug 16, 2025 Accepting new patients

Locations

3247 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 776-3500

4045 Spencer St
Ste 116
Las Vegas, NV 89119
Phone (702) 780-6200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1700631447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 SPENCER ST STE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195246",
            "telephone_number": "702-780-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 SPENCER ST STE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195246",
            "telephone_number": "702-780-6200",
            "fax_number": "888-433-5792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3247 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092412",
            "country_code": "US",
            "telephone_number": "702-755-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABOS",
        "first_name": "TIFFANY",
        "middle_name": "NANILEI",
        "name_prefix": "Miss",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "876243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.