Active NPI
Iredila Timagos Bynum, APRN FNP-C
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 874910
- Practice address
- 6070 W Post Rd
Las Vegas, NV 89118-3419 - Phone
- (385) 518-0403
- Fax
- (385) 518-0466
- NPI assigned
- Feb 12, 2024
- Last updated
- Feb 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 874910 | NV | |
| Family Nurse Practitioner | 363LF0000X | 874910 | NV | Primary |
| Registered Nurse | 163W00000X | RN74360 | NV | |
| Wound Care Registered Nurse | 163WW0000X | RN74360 | NV |
Addresses
Primary practice location
6070 W Post Rd
Las Vegas, NV 89118-3419
Mailing address
6070 W Post Rd
Las Vegas, NV 89118-3419
Phone (385) 518-0403
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN74360 | NV | MD | Registered Nurse |
| 874910 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puso, LLC | Current | Accepting new patients | |
| Calloway Health and Psych LLC | Current | Accepting new patients | |
| Vip Wound Care Specialists PLLC | Current | Accepting new patients | |
| Integrity Medical and Wounds LLC | Wound Care | Current | Accepting new patients |
| 702 Family Practice LLC | Family | Current | Accepting new patients |
| Southwest Family Practice LLC | Current | Accepting new patients | |
| Arlene Rillo MD Medical Group PLLC | Current | Accepting new patients | |
| Ideal Healthcare LLC | Current | Accepting new patients |
Locations
3195 Saint Rose Pkwy
Ste 212
Henderson, NV 89052
Phone (702) 342-1384
2880 Bicentennial Pkwy
Ste 100
Las Vegas, NV 89044
4760 S Pecos Rd
#10323
Las Vegas, NV 89121
Phone (213) 948-7792
5506 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 360-6003
6655 S Tenaya Way
Ste 180
Las Vegas, NV 89113
Phone (702) 463-7611
801 S Rancho Dr
Ste A2
Las Vegas, NV 89106
Phone (702) 483-3630
801 S Rancho Dr
Ste B2
Las Vegas, NV 89106
Phone (702) 331-4808
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Henderson, NV
- NPI 1760125363
-
dba Aches and Brain
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1134986607
-
- Clinic/Center
- Las Vegas, NV
- NPI 1558107870
-
- Family Medicine Physician
- Henderson, NV
- NPI 1447045281
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1548085491
-
- Primary Care Nurse Practitioner
- Las Vegas, NV
- NPI 1982417747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1740044627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6070 W POST RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183419",
"telephone_number": "385-518-0403",
"fax_number": "385-518-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6070 W POST RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183419",
"telephone_number": "385-518-0403",
"fax_number": "385-518-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYNUM",
"first_name": "IREDILA",
"middle_name": "TIMAGOS",
"name_prefix": "Ms.",
"credential": "APRN FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2025-02-17",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "874910",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "874910",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN74360",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NV",
"license": "RN74360",
"primary": false
}
],
"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 17, 2025; 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.