Individual provider Active NPI

Nilda Alabro Atienza-Isman

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1780171041
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002877 Issued in NV
Practice address
2775 S Jones Blvd Ste 101
Las Vegas, NV 89146-5632
Phone
(702) 685-3300
NPI assigned
Apr 21, 2018
Last updated
Sep 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002877 NV Primary

Addresses

Primary practice location

2775 S Jones Blvd Ste 101
Las Vegas, NV 89146-5632

Mailing address

4270 S Decatur Blvd
Ste a-1a
Las Vegas, NV 89103-6800
Phone (702) 798-7770

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
I20190226003364 NV Practitioner - Nurse Practitioner 9032458674 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002877NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward S. Victoria, PLLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

2701 N Tenaya Way
Ste 190
Las Vegas, NV 89128
Phone (702) 382-1599

Interoperability endpoints

  • Direct secure messaging: nilda.atienzaismannp.p1@direct.afh.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1780171041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 S DECATUR BLVD",
            "address_2": "STE A-1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891036800",
            "telephone_number": "702-798-7770",
            "fax_number": "702-895-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S JONES BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465632",
            "telephone_number": "702-685-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIENZA-ISMAN",
        "first_name": "NILDA",
        "middle_name": "ALABRO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-21",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.