Individual provider Active NPI

Nicole Cabrera-Heiring

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1831787340
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN44123 Issued in NV
Practice address
2215 Renaissance Dr Ste C
Las Vegas, NV 89119-6729
Phone
(702) 471-0420
NPI assigned
Jan 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN44123 NV Primary
Primary Care Nurse Practitioner 363LP2300X 837658 NV

Addresses

Primary practice location

2215 Renaissance Dr Ste C
Las Vegas, NV 89119-6729

Mailing address

1181 Grier Dr Ste C
Las Vegas, NV 89119-3746

Other practice location 1

1181 Grier Dr Ste C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

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
I20210822000019 NV Practitioner - Nurse Practitioner 2769887272 Reassigns benefits to 1 organization

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
Yang Medical Services PLLC 37 clinicians

Practice addresses (Care Compare)

1181 Grier Dr
Suite C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN44123NVMDFamily Medicine Physician
837658NVMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yang Medical Services, PLLC Family Medicine CurrentSince Oct 15, 2024 Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

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": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1831787340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 GRIER DR STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 RENAISSANCE DR STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196729",
            "telephone_number": "702-471-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1181 Grier Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891193746",
            "country_code": "US",
            "telephone_number": "888-888-9930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA-HEIRING",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "RN44123",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "837658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.