Rosanna R Octaviano, APN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

APN001140 Issued in NV

Practice address

3680 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7235

Phone

(702) 855-0748

Fax

(702) 436-8088

NPI assigned

May 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of NevadaGroup PAC ID 9234022153, 57 clinicians

Abide Health Medical a Professional CorporationGroup PAC ID 3971950320, 5 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.

• Abide Health Medical a Professional Corp.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1447034871
  Medicare reassignment Care Compare group NPD
• State of Nevada

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010
  Medicare reassignment Care Compare group NPD
• Southern Nevada Adult Mental Health

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
  • NPI 1891756920
  NPD
• State of Nevada

  • Skilled Nursing Facility
  • Boulder City, NV
  • NPI 1083612741
  NPD

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1760828214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778207",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778207",
            "telephone_number": "702-855-0748",
            "fax_number": "702-436-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E SUNSET RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207235",
            "telephone_number": "702-855-0748",
            "fax_number": "702-436-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCTAVIANO",
        "first_name": "ROSANNA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APN001140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "APN001140",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Oconnor
• Irmgard Constance Oconnor, OT
• Patrick A Oconnor, DDS
• Pauline Oconnor
• Alvin Jan Madarang Ocreto, BSN-RN
• Oczella Medical Group LLP
• Oczella Medical Group LLP
• Jazmine Oda
• Nishan M. Odabashian, DMD, MS
• Rosemary Jo-Mei Odders, DPT

• Psychiatric/Mental Health Clinical Nurse Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.