Individual provider Active NPI

Julie Ann Gidvani, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1811148927
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TAPN700470 Issued in NV
Practice address
5970 S Rainbow
#100
Las Vegas, NV 89118
Phone
(702) 363-4000
Fax
(702) 362-0086
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAPN700470 NV
Nurse Practitioner 363L00000X TAPN700470 NV Primary

Addresses

Primary practice location

5970 S Rainbow
#100
Las Vegas, NV 89118

Mailing address

5970 S Rainbow
#100
Las Vegas, NV 89118
Phone (702) 363-4000

Other names 1

  • Julie Ann Watts Former name

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
I20100216000500 NV Practitioner - Nurse Practitioner 8123162039 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAPN700470NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Moffat DO PLLC CurrentSince Aug 7, 2025 Accepting new patients

Locations

5970 S Rainbow Blvd
Ste 100C
Las Vegas, NV 89118

5970 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 363-4000

5970 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 363-4000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1811148927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 S RAINBOW",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-363-4000",
            "fax_number": "702-362-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 S RAINBOW",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-363-4000",
            "fax_number": "702-362-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDVANI",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "TAPN700470",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "TAPN700470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "WATTS",
            "middle_name": "ANN",
            "credential": "FNPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.