Individual provider Active NPI

Maria Luna Sabanico, ACNP

  • Acute Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1821642810
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
823099 Issued in NV
Practice address
9936 Bundella Dr
Las Vegas, NV 89134-7574
Phone
(702) 659-2270
Fax
(702) 522-6071
NPI assigned
Jul 28, 2019
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 823099 NV
Acute Care Nurse Practitioner 363LA2100X 823099 NV Primary
Adult Health Nurse Practitioner 363LA2200X 823099 NV
Community Health Nurse Practitioner 363LC1500X 823099 NV
Gerontology Nurse Practitioner 363LG0600X 823099 NV
Primary Care Nurse Practitioner 363LP2300X 823099 NV
Pain Medicine Physician 208VP0000X 823099 NV
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 823099 NV

Addresses

Primary practice location

9936 Bundella Dr
Las Vegas, NV 89134-7574

Mailing address

9936 Bundella Dr
Las Vegas, NV 89134-7574
Phone (702) 659-2270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
823099NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult-Gerontology Medical, LLC Acute Care CurrentSince Feb 9, 2025 Accepting new patients
Desertbloom Medical LLC Current Accepting new patients
Nevada Community Hospice LLC PastSince May 22, 2022 Accepting new patients
Behavioral Health Solutions LLC Past Accepting new patients
Shazia Hamid MD PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1821642810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9936 BUNDELLA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891347574",
            "telephone_number": "702-659-2270",
            "fax_number": "702-522-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9936 BUNDELLA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891347574",
            "telephone_number": "702-659-2270",
            "fax_number": "702-522-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABANICO",
        "first_name": "MARIA LUNA",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "823099",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "823099",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "823099",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NV",
            "license": "823099",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "823099",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "823099",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "823099",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "823099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.