Individual provider Active NPI

Cristina Maria Hadtrath

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1730867128
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
868152 Issued in NV
Practice address
3041 E Flamingo Rd
Las Vegas, NV 89121-7446
Phone
(702) 436-0835
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 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 868152 NV Primary

Addresses

Primary practice location

3041 E Flamingo Rd
Las Vegas, NV 89121-7446

Mailing address

3041 E Flamingo Rd
Las Vegas, NV 89121-7446
Phone (702) 436-0835

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
I20230808001877 NV Practitioner - Nurse Practitioner 7719349729 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Group of Nevada, PC CurrentSince Jul 27, 2023 Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3041 E Flamingo Rd
Ste A
Las Vegas, NV 89121
Phone (702) 436-0835

3150 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 233-4950

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1730867128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217446",
            "telephone_number": "702-436-0835",
            "fax_number": "702-435-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217446",
            "telephone_number": "702-436-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADTRATH",
        "first_name": "CRISTINA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "868152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.