Amanda Lynn Aydin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN001782 Issued in NV

Practice address

10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872

Phone

(702) 707-3919

NPI assigned

Mar 20, 2012

Last updated

Jul 12, 2019By 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

Medicare fee-for-service enrollment

Enrolled in NV, CO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah WhiGroup PAC ID 6507854049, 7 clinicians

Practice addresses (Care Compare)

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.

• Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah Whi

  dba Internal Medicine Specialists of Southern Nevada

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1013917640
  Medicare reassignment Care Compare group NPD
• Visiting Medical Clinic LLC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1063821783
  Authorized official Same address or phone
• In-House Home Health Inc

  dba In-House Primary Care

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1619021748
  NPD

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1821363144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 HUXLEY CROSS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441362",
            "telephone_number": "702-475-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 PARK RUN DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458872",
            "telephone_number": "702-707-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYDIN",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 21710",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph H. Ayat, M.D.
• Milagros Ayat
• Alyssa Aycock
• Lorraine Dianne Aydelott
• Denise Lynn Aydelotte-Wodesky, LCPC, LADC
• Alemzewd Ayele
• Kaela Ayento
• Andrew Morgan Ayers, M.D.
• Asia Ayers
• Courtney Ayers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.