Individual provider Active NPI

Lalah Patricia Iacobucci, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1851654602
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001384 Issued in NV
Practice address
4141 S. University Dr.
Las Vegas, NV 89119
Phone
(702) 296-4756
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 APN001384 NV Primary

Addresses

Primary practice location

4141 S. University Dr.
Las Vegas, NV 89119

Mailing address

4141 S. University Dr.
Las Vegas, NV 89119
Phone (702) 296-4756

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
I20210830000886 NV Practitioner - Nurse Practitioner 0446655492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathan Adelson Hospice IncGroup PAC ID 6709820129, 10 clinicians

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 350
Las Vegas, NV 89128-0489
Phone (702) 733-0320

4131 University Ctr Dr
Las Vegas, NV 89119-6718
Phone (702) 733-0320

4141 University Ctr Dr
Las Vegas, NV 89119-6718
Phone (702) 796-3162

Hospital & facility affiliations

  • Nathan Adelson Hospice Hospice, Las Vegas, NV, CCN 291500
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001384NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Adelson Hospice Inc Current Accepting new patients
Trusted Primary Care CurrentSince Jul 6, 2021 Accepting new patients
Center for Compassionate Care and Palliative Services Institute CurrentSince Jul 6, 2021 Accepting new patients

Locations

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

3150 N Tenaya Way
Ste 350
Las Vegas, NV 89128
Phone (702) 243-6400

4131 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3112

4141 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3162

2270 Commercial Dr
Ste B
Pahrump, NV 89048
Phone (702) 751-6700

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1851654602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S. UNIVERSITY DR.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-296-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S. UNIVERSITY DR.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-296-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOBUCCI",
        "first_name": "LALAH",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.