Active NPI
Divina Tiongson Andres, N.P.
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1861705261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN001165
- Practice address
- 4231 N Rancho
Las Vegas, NV 89130 - Phone
- (702) 383-3800
- Fax
- (702) 645-1589
- NPI assigned
- Jul 14, 2010
- Last updated
- Mar 13, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN001165 | NV | Primary |
Addresses
Primary practice location
4231 N Rancho
Las Vegas, NV 89130
Mailing address
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 383-2000
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN001165 | NV | MD | Family Nurse Practitioner |
Interoperability endpoints
- divina.andres.1@15442.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1861705261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-383-2000",
"fax_number": "702-722-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 N RANCHO",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89130",
"telephone_number": "702-383-3800",
"fax_number": "702-645-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRES",
"first_name": "DIVINA",
"middle_name": "TIONGSON",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN001165",
"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 Mar 13, 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.