Individual provider Active NPI

Erlene G Cudiamat, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1710690243
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
861111 Issued in NV
Practice address
3227 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3180
Phone
(702) 292-6829
Fax
(636) 212-9019
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 861111 NV Primary

Addresses

Primary practice location

3227 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3180

Mailing address

3100 W Sahara Ave Ste 116
Las Vegas, NV 89102-6001
Phone (725) 292-6829

Other practice location 1

236 W 6th St Ste 302
Reno, NV 89503-4577
Phone (702) 292-6829

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
I20230830000247 NV Practitioner - Nurse Practitioner 7719311224 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
861111NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Health Services of Nevada LLC PastSince Mar 21, 2022 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unicare Home Health LLCSparks, NV, CCN 297364 Home health agency 5% Or Greater Direct Ownership Interest (55%) Jan 1, 2021
Home Health Services of Nevada LLCLas Vegas, NV, CCN 297363 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Mar 21, 2022
Mar 21, 2022
Mar 21, 2022
Hospice Services of RenoSparks, NV, CCN 291568 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Director (50%)
W-2 Managing Employee
May 23, 2018
May 23, 2018
May 23, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1710690243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W SAHARA AVE STE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891026001",
            "telephone_number": "725-292-6829",
            "fax_number": "636-212-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203180",
            "telephone_number": "702-292-6829",
            "fax_number": "636-212-9019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 W 6th St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034577",
            "country_code": "US",
            "telephone_number": "702-292-6829",
            "fax_number": "363-212-6829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUDIAMAT",
        "first_name": "ERLENE",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "861111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.