Organization Active NPI

Emmanuel Medical Centers LLC

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1811763774
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EMMANUEL MEDICAL CENTERS LLC
Practice address
2465 Reynolds Ave Ste 202
North Las Vegas, NV 89030-7296
Phone
(702) 381-0962
Fax
(702) 389-0048
NPI assigned
Nov 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Noemi Cabrera, DNP, APRN , FNP-CNPI 1558872986
Title
Ceo
Phone
(702) 381-0962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2465 Reynolds Ave Ste 202
North Las Vegas, NV 89030-7296

Mailing address

2465 Reynolds Ave Ste 202
North Las Vegas, NV 89030-7296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212001935 NV Part B Supplier - Clinic/Group Practice 0042746117 Receives reassigned benefits from 1 practitioner
Practice locations: North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2465 Reynolds Ave
Unit 202
North Las Vegas, NV 89030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1811763774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 REYNOLDS AVE STE 202",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 REYNOLDS AVE STE 202",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307296",
            "telephone_number": "702-381-0962",
            "fax_number": "702-389-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-381-0962",
        "authorized_official_credential": "DNP, APRN , FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.