NPIMap

Organization Active NPI

Primary Care Providers of Southern Nevada LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1750006078
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIMARY CARE PROVIDERS OF SOUTHERN NEVADA LLC
Practice address
2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone
(725) 577-9285
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Norydel Escaner
Title
Manager
Phone
(725) 577-9285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397

Mailing address

2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone (725) 577-9285

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1750006078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W SAHARA AVE STE 800",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024397",
            "telephone_number": "725-577-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W SAHARA AVE STE 800",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024397",
            "telephone_number": "725-577-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PROVIDERS OF SOUTHERN NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "ESCANER",
        "authorized_official_first_name": "NORYDEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "725-577-9285"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.