Lydia B Estanislao PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

LYDIA B ESTANISLAO PLLC

Practice address

4206 W Charleston Blvd
Las Vegas, NV 89102-1625

Phone

(702) 985-0118

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Lydia B Estanislao, MDNPI 1154375798

Title

Member

Phone

(702) 985-0118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11701/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Lydia Borjas Estanislao, M.D.

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1154375798
  Medicare reassignment NPD Authorized official
• Pilar Diaz Arabia, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1669665097
  Medicare reassignment NPD
• Travis K Sanders, DC

  • Chiropractor
  • Hurricane, UT
  • NPI 1821090523
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1770967481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021625",
            "telephone_number": "702-985-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021625",
            "telephone_number": "702-985-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA B ESTANISLAO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "ESTANISLAO",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-985-0118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hong Ly
• Van Duc Ly
• Russell Brock Lybarger
• Angela Naomi Lybbert, PA-C
• Lychee Holdings, LLC
• Lydia C. Wyatt, D.D.S., P.C.
• Brandy Lydic
• Chip Stewart Lydick
• Eden Dolorfino Lydick
• Lyfe Pharmacy Inc

• Neurology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Neurology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.