Active NPI
Aiza Moreno, FNP
- Primary Care Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 817298
- Practice address
- 10754 Henesco Bay St
Las Vegas, NV 89179-1472 - Phone
- (702) 338-3302
- NPI assigned
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 817298 | NV | Primary |
Addresses
Primary practice location
10754 Henesco Bay St
Las Vegas, NV 89179-1472
Mailing address
10754 Henesco Bay St
Las Vegas, NV 89179-1472
Phone (702) 338-3302
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Boulder City, NV 89005
Phone (702) 344-0993
Las Vegas, NV 89107
Phone (775) 234-3330
500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellence Health Consulting LLC | Current | Accepting new patients | |
| Advanced Practitioner LLC | Family | Current | Accepting new patients |
| Healthwise LLC | Current | Accepting new patients |
Locations
500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148
6843 W Tropicana Ave
Ste 100
Las Vegas, NV 89103
Phone (702) 888-1113
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGBJCD
Organizations & group practices 4
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.
-
- Adult Health Nurse Practitioner
- Henderson, NV
- NPI 1962239491
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1922721406
-
- Adult Health Nurse Practitioner
- Boulder City, NV
- NPI 1801624770
-
- Adult Health Nurse Practitioner
- Henderson, NV
- NPI 1992653042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1831912930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10754 HENESCO BAY ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891791472",
"telephone_number": "702-338-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10754 HENESCO BAY ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891791472",
"telephone_number": "702-338-3302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "AIZA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-12-12",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NV",
"license": "817298",
"primary": true
}
],
"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 12, 2024; 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.