Individual provider Active NPI

Maria Soledad Amezcua-Huerta, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1760149488
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
838193 Issued in NV
Practice address
4680 Polaris Ave Ste 200
Las Vegas, NV 89103-5600
Phone
(702) 909-0028
NPI assigned
Nov 18, 2021
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 838193 NV Primary

Addresses

Primary practice location

4680 Polaris Ave Ste 200
Las Vegas, NV 89103-5600

Mailing address

PO Box 370520
Las Vegas, NV 89137-0520
Phone (702) 909-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1760149488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370520",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370520",
            "telephone_number": "702-909-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 POLARIS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035600",
            "telephone_number": "702-909-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEZCUA-HUERTA",
        "first_name": "MARIA",
        "middle_name": "SOLEDAD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "838193",
            "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 Nov 18, 2021; 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.