Edelaine G Guillen, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

867403 Issued in NV

Practice address

2865 Siena Heights Dr Ste 140
Henderson, NV 89052-4168

Phone

(725) 780-1973

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reliant Physicians Kumar PLLCGroup PAC ID 3577893965, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Reliant Physicians (Kumar) PLLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1093285462
  Medicare reassignment Care Compare group NPD
• Reliant Physicians (Kumar) PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1194477240
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1740065754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524168",
            "telephone_number": "725-780-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SIENA HEIGHTS DR STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524168",
            "telephone_number": "725-780-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Las Vegas Blvd S # G101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891098921",
            "country_code": "US",
            "telephone_number": "702-778-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "EDELAINE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-04-15",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "867403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul William Guevara, DMD
• Bryn Mikaela Guiant
• Ashley Guido
• Rachel Ann Cruz Guiking, COTA/L
• Maria D Guilas
• Guillermo Fraga, M.D. a Professional Corporation
• Mary Elizabeth Guinan, M.D.
• Lashondra Guined
• Warren Guinn, PA
• Chassity Gulley

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.