Individual provider Active NPI

Lorimel Adeline Soberano Lopez-Culanag, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1821870650
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NA Issued in NV
Practice address
6843 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4923
Phone
(702) 888-1113
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 NA NV Primary

Addresses

Primary practice location

6843 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4923

Mailing address

6843 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4923
Phone (702) 888-1113

Other names 1

  • Lorimel Adeline Soberano Lopez 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
I20240306002002 NV Practitioner - Nurse Practitioner 3678919230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Practitioner LLCGroup PAC ID 3870960974, 3 clinicians

Practice addresses (Care Compare)

6843 W Tropicana Ave
Suite 100
Las Vegas, NV 89103-4923
Phone (702) 888-1113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practitioner LLC Family CurrentSince Jan 1, 2024 Accepting new patients

Locations

1371 W Warm Springs Rd
Ste 120
Henderson, NV 89014
Phone (702) 888-1113

6843 W Tropicana Ave
Ste 100
Las Vegas, NV 89103
Phone (702) 888-1113

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBJCD

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1821870650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034923",
            "telephone_number": "702-888-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034923",
            "telephone_number": "702-888-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-CULANAG",
        "first_name": "LORIMEL ADELINE",
        "middle_name": "SOBERANO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORIMEL ADELINE",
            "last_name": "LOPEZ",
            "middle_name": "SOBERANO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.