Organization Active NPI

The Vice Practice LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1790465698
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE VICE PRACTICE LLC
Practice address
2480 E Tompkins Ave Ste 201
Las Vegas, NV 89121-7394
Phone
(725) 724-2005
Fax
(877) 418-8013
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Cristina Meneses Viceral
Title
Owner/Dr
Phone
(702) 931-1434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2480 E Tompkins Ave Ste 201
Las Vegas, NV 89121-7394

Mailing address

2480 E Tompkins Ave # 201
Las Vegas, NV 89121-7394
Phone (725) 724-2005

Other names 2

  • The Vice Practice Doing business as
  • The Vice Practice LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207001558 NV Part B Supplier - Clinic/Group Practice 5496104168 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2480 E Tompkins Ave
Las Vegas, NV 89121

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1790465698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 E TOMPKINS AVE # 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217394",
            "telephone_number": "725-724-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 E TOMPKINS AVE STE 201",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217394",
            "telephone_number": "725-724-2005",
            "fax_number": "877-418-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VICE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "VICERAL",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "MENESES",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "702-931-1434"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vice Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Vice Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Vice Practice LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 20, 2026; 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.