Individual provider Active NPI

Alyssa Kiat-Ong

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1740954452
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
842845 Issued in NV
Practice address
7175 N Durango Dr
Las Vegas, NV 89149-4479
Phone
(702) 880-4193
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 842845 NV Primary

Addresses

Primary practice location

7175 N Durango Dr
Las Vegas, NV 89149-4479

Mailing address

6849 Fallen Rock St
North Las Vegas, NV 89084-2582
Phone (626) 676-0979

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
I20210823002620 NV Practitioner - Nurse Practitioner 5496150856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Las Vegas Sports and Spine CenterGroup PAC ID 1658767462, 3 clinicians

Practice addresses (Care Compare)

1009 S Cimarron Rd
Las Vegas, NV 89145-2447
Phone (702) 707-7246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Pain Institute and Medical Center, LLC Nurse Practitioner CurrentSince Aug 23, 2021 Accepting new patients
Las Vegas Sports and Spine Center CurrentSince Sep 3, 2024 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients

Locations

1009 S Cimarron Rd
Las Vegas, NV 89145
Phone (725) 300-0104

1900 N Nellis Blvd
Las Vegas, NV 89115
Phone (702) 531-6440

2208 S Nellis Blvd
Las Vegas, NV 89104
Phone (702) 475-9000

2610 S Jones Blvd
Ste 1C
Las Vegas, NV 89146
Phone (702) 707-7246

3835 S Jones Blvd
Ste 104
Las Vegas, NV 89103
Phone 7028804193750

4616 W Sahara Ave
#337
Las Vegas, NV 89102

4616 W Sahara Ave
Ste 337
Las Vegas, NV 89102

6402 McLeod Dr
Ste 1
Las Vegas, NV 89120
Phone (702) 707-7246

653 N Town Center Dr
Ste 510
Las Vegas, NV 89144
Phone (702) 448-5578

6850 N Durango Dr
Ste 218
Las Vegas, NV 89149
Phone (702) 202-3431

6965 S Rainbow Blvd
Ste 110
Las Vegas, NV 89118
Phone (702) 707-7246

7175 N Durango Dr
Las Vegas, NV 89149
Phone (702) 651-2020

7229 W Sahara Ave
Ste 100
Las Vegas, NV 89117

5155 Camino Al Norte
North Las Vegas, NV 89031
Phone (702) 707-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1740954452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 FALLEN ROCK ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842582",
            "telephone_number": "626-676-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 N DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494479",
            "telephone_number": "702-880-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIAT-ONG",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "842845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.