Active NPI
Aivee Jayne San Andres, APRN
- Psychiatric/Mental Health Nurse Practitioner
- North Las Vegas, NV
National Provider Identifier
1790469518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 866200
- Practice address
- 4310 W Cheyenne Ave
North Las Vegas, NV 89032-2484 - Phone
- (702) 763-7811
- NPI assigned
- Jun 12, 2023
- Last updated
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 866200 | NV | Primary |
Addresses
Primary practice location
4310 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Mailing address
4310 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Phone (702) 763-7811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 866200 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psychiatry Inc | Psychiatry | Past | Accepting new patients |
| Desert Winds Hospital LLC | Past | Accepting new patients | |
| Sunarch LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- North Las Vegas, NV
- NPI 1497200299
-
dba Desert Winds Hospital
- Psychiatric Hospital
- Las Vegas, NV
- NPI 1750986311
-
dba Sunarch Academy
- Psychiatric Residential Treatment Facility
- Las Vegas, NV
- NPI 1811766736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1790469518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 W CHEYENNE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890322484",
"telephone_number": "702-763-7811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 W CHEYENNE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890322484",
"telephone_number": "702-763-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN ANDRES",
"first_name": "AIVEE JAYNE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "866200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.