Individual provider Active NPI

Cherish Cabanilla Edades

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1700690229
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
860732 Issued in NV
Practice address
9965 Tucket Point CT
Las Vegas, NV 89178-2464
Phone
(907) 350-0396
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029931 CA
Family Nurse Practitioner 363LF0000X 860732 NV Primary

Addresses

Primary practice location

9965 Tucket Point CT
Las Vegas, NV 89178-2464

Mailing address

9965 Tucket Point CT
Las Vegas, NV 89178-2464
Phone (907) 350-0396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95029931CAMDFamily Nurse Practitioner
860732NVMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1700690229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9965 TUCKET POINT CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891782464",
            "telephone_number": "907-350-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9965 TUCKET POINT CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891782464",
            "telephone_number": "907-350-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDADES",
        "first_name": "CHERISH",
        "middle_name": "CABANILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "860732",
            "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 Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.