Mary Ann Lorenzo Enriquez, AGPCNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

813736 Issued in NV

Practice address

4750 W Sahara Ave Ste 36
Las Vegas, NV 89102-3557

Phone

(725) 433-3364

Fax

(725) 433-3366

NPI assigned

Oct 16, 2018

Last updated

Jan 3, 2023By the provider in NPPES

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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Archwell Health Professional Services of Nevada, P.C.

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1487303145
  Medicare reassignment NPD
• Golan Integrated Physical Medicine

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Las Vegas, NV
  • NPI 1497195580
  Medicare reassignment NPD
• Golan Integrated Physical Medicine

  dba Advanced Spine and Posture

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1316419260
  NPD

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1801362942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 W SAHARA AVE STE 36",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023557",
            "telephone_number": "725-433-3364",
            "fax_number": "725-433-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Vanderbilt University School Of Nursing 461 21st Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372400001",
            "country_code": "US",
            "telephone_number": "615-322-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "MARY ANN",
        "middle_name": "LORENZO",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "813736",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "813736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801362942",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derik Enriquez
• Edgar Gomez Enriquez
• Juan Enriquez
• Kiersten Enriquez
• Maria D Enriquez
• Monica Enriquez, ATC, LAT
• Rita P Enriquez
• Rosalie Arendela Enriquez
• Sirena Enriquez
• Sonia E Enriquez

• Gerontology Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Gerontology Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.