Active NPI
Vanessa Pearl Stewart, RN
- Neonatal Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1720395650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- APN001262
- Practice address
- 657 N Town Center Dr
Las Vegas, NV 89144-6367 - Phone
- (702) 233-7787
- NPI assigned
- Sep 14, 2010
- Last updated
- Mar 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | APN001262 | NV | Primary |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | RN25654 | NV |
Addresses
Primary practice location
657 N Town Center Dr
Las Vegas, NV 89144-6367
Mailing address
657 N Town Center Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7787
Other names 1
- Ms. Vanessa Pearl Mahan
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110720000645 | NV | Order and Referring Only - Nurse Practitioner | 7012185937 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN25654 | NV | MD | Neonatal Intensive Care Registered Nurse |
| APN001262 | NV | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1720395650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 N TOWN CENTER DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446367",
"telephone_number": "702-233-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 N TOWN CENTER DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446367",
"telephone_number": "702-233-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "VANESSA",
"middle_name": "PEARL",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NV",
"license": "APN001262",
"primary": true
},
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "NV",
"license": "RN25654",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "MAHAN",
"middle_name": "PEARL",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
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 Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.