Cherubim Costa Ibarrientos, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

842043 Issued in NV

Practice address

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Phone

(725) 334-3276

NPI assigned

May 1, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Cherubim Raagas Costa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1790574259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 REDFIELD AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322697",
            "telephone_number": "575-390-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PILOT RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193514",
            "telephone_number": "725-334-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRIENTOS",
        "first_name": "CHERUBIM",
        "middle_name": "COSTA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "842043",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NV",
            "license": "842043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERUBIM",
            "last_name": "COSTA",
            "middle_name": "RAAGAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Ibarra
• Sonny James Ibarra
• Sylvia Ibarra
• Trisha Ibarra
• Vivian Yanira Ibarra
• Ibasi Healing Ministries
• Anthony Hofilena Ibay, M.D.
• Gemma Marie Ibbotson
• Jody Ibe
• Chiamaka F Ibeabuchi, APRN

• Home Health Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.