Rilwan Olalekan Shoyombo, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

839759 Issued in NV

Practice address

5353 S Jones Blvd
Las Vegas, NV 89118-0537

Phone

(702) 846-5978

Fax

(702) 846-0305

NPI assigned

May 7, 2021

Last updated

May 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NV

  Medicare reassignment NPD
• Direct Healthcare of Nevada PC

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
  • NPI 1689242190
  Authorized official Same address or phone

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1720662588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180537",
            "telephone_number": "702-846-5978",
            "fax_number": "702-846-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180537",
            "telephone_number": "702-846-5978",
            "fax_number": "702-846-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOYOMBO",
        "first_name": "RILWAN",
        "middle_name": "OLALEKAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "839759",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "839759",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "839759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Chanel Shoulders
• James Shoung
• Kathy Jo Shovlin, MFT
• Maurice Showers
• Tashie Shows
• Daryl Jaya Shrader
• Brian Keith Shrawder, PHYSICIAN ASSISTANT
• Cory Adam Shrecengost
• Shree Sainath LLC (Patient Care Pharmacy)
• Bhagawan Shrestha, MD

• Gerontology Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gerontology Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.

Verify at the official NPI Registry.