Individual provider Active NPI

Angela Alesi

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1760411318
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN815670 Issued in NV
Practice address
911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381
Phone
(702) 405-8088
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP04572 LA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X APRN815670 NV Primary

Addresses

Primary practice location

911 N Buffalo Dr Unit 213
Las Vegas, NV 89128-0381

Mailing address

PO Box 752003
Las Vegas, NV 89136-2003
Phone (337) 504-2332

Other practice location 1

4906 Ambassador Caffery Pkwy
Bldg K Suite 1100
Lafayette, LA 70508-6962
Phone (337) 504-2332

Other identifiers 1

IdentifierTypeStateIssuer
4H442CU00OtherMEDICARE

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
I20190717003133 NV Practitioner - Nurse Practitioner 1557301579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Changing Minds Psychiatry LLC 51 clinicians

Practice addresses (Care Compare)

911 N Buffalo Dr
Las Vegas, NV 89128-0381
Phone (702) 405-8088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04572LAMDPsychiatric/Mental Health Nurse Practitioner
APRN815670NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare LLC Single Specialty PastSince Dec 1, 2018 Accepting new patients
Psych Services LLC Single Specialty PastSince Dec 10, 2001 Accepting new patients
Gad Psychiatric Group Inc Single Specialty Past Accepting new patients
Changing Minds Psychiatry LLC Psychiatric/Mental Health PastSince Jun 1, 2019 Accepting new patients
Memphis Psychiatric and Addiction Clinic, PC Single Specialty PastSince Dec 23, 1996 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1760411318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752003",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891362003",
            "telephone_number": "337-504-2332",
            "fax_number": "337-504-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280381",
            "telephone_number": "702-405-8088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4906 Ambassador Caffery Pkwy",
            "address_2": "Bldg K Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086962",
            "country_code": "US",
            "telephone_number": "337-504-2332",
            "fax_number": "337-504-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALESI",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP04572",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN815670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4H442CU00",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.