Individual provider Active NPI

Carolina Salaberrios, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1811596463
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
834679 Issued in NV
Practice address
8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648
Phone
(702) 201-1400
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 834679 NV Primary

Addresses

Primary practice location

8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648

Mailing address

8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648
Phone (702) 201-1400

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
I20210505001916 NV Practitioner - Nurse Practitioner 0547679441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Emergency Physicians Harris PLLCGroup PAC ID 9739461252, 16 clinicians

Practice addresses (Care Compare)

1409 E Lake Mead Blvd
North Las Vegas, NV 89030-7120
Phone (702) 649-7711

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Emergency Physicians Harris, PLLC CurrentSince Aug 12, 2023 Accepting new patients
Carefirst Urgent Care, LLC CurrentSince May 18, 2021 Accepting new patients
Clinic 21 of Nevada Zyniewicz PLLC CurrentSince May 18, 2021 Accepting new patients
CG Medical Associates Inc Past Accepting new patients

Locations

5216 Boulder Hwy
Ste 105
Las Vegas, NV 89122
Phone (513) 846-6778

1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

Organizations & group practices 4

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1811596463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-201-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-201-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALABERRIOS",
        "first_name": "CAROLINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "834679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.