Individual provider Active NPI

Julia Vivien De Jesus Navalta, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1871017400
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002556 Issued in NV
Practice address
6170 N Durango Dr Ste 130
Las Vegas, NV 89149-3923
Phone
(702) 940-1550
Fax
(702) 940-1551
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 APRN002556 NV Primary

Addresses

Primary practice location

6170 N Durango Dr Ste 130
Las Vegas, NV 89149-3923

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

2831 Business Park Ct Ste A
Las Vegas, NV 89128-9000
Phone (702) 844-4848

Other practice location 2

653 N Town Center Dr Ste 106
Las Vegas, NV 89144
Phone (702) 844-4842

Other identifiers 2

IdentifierTypeStateIssuer
APRN002556OtherNVSTATE LICENSE
1871017400MedicaidNV

Other names 1

  • Julia Vivien Roxas De Jesus 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
I20180412002359 NV Practitioner - Nurse Practitioner 7416210018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Khakwani Medical Corporation PCGroup PAC ID 7214207141, 13 clinicians

Practice addresses (Care Compare)

10040 Alta Dr
Suite 100B
Las Vegas, NV 89145-8630
Phone (702) 960-0689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc CurrentSince Feb 7, 2022 Accepting new patients
Khakwani Medical Corporation, PC CurrentSince Nov 1, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Feb 7, 2022 Accepting new patients
Khakwani Medical Corporation, PC CurrentSince Nov 1, 2023 Accepting new patients
Bacchus PC CurrentSince Jun 18, 2018 Accepting new patients
Khakwani Medical Corporation, PC Current Accepting new patients
Khakwani Medical Corporation, PC PastSince Aug 28, 2022 Accepting new patients
Khakwani Medical Corporation, PC Past Accepting new patients
Khakwani Medical Corporation, PC Past Accepting new patients
Khakwani Medical Corporation, PC PastSince Nov 1, 2023 Accepting new patients
Khakwani Medical Corporation, PC Past Accepting new patients
Dignity Health Past Accepting new patients
P3 Medical Group PC PastSince Feb 1, 2021 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

6296 E Grant Rd
Ste 140
Tucson, AZ 85712
Phone (520) 298-3321

5255 E Williams Cir
Ste 2020
Tucson, AZ 85711
Phone (520) 392-8400

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

2231 N Green Valley Pkwy
#B
Henderson, NV 89014
Phone (702) 766-1972

366 W Lake Mead Pkwy
Ste 100
Henderson, NV 89015
Phone (702) 359-5210

2460 Paseo Verde Pkwy
Ste 145
Henderson, NV 89074

1135 Vitality Dr
Ste 120
Henderson, NV 89011
Phone (702) 359-7403

366 W Lake Mead Pkwy
Ste 140
Henderson, NV 89015

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

653 N Town Center Dr
Ste 106
Las Vegas, NV 89144
Phone (702) 363-3000

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

6958 W Ann Rd
#B
Las Vegas, NV 89130
Phone (702) 444-2397

4950 W Sahara Ave
Ste 100B
Las Vegas, NV 89146
Phone (702) 577-9773

3140 S Durango Dr
Ste 100B
Las Vegas, NV 89117
Phone (702) 273-3680

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

10040 Alta Dr
Ste 100B
Las Vegas, NV 89145
Phone (702) 960-0689

2831 Business Park Ct
Ste A
Las Vegas, NV 89128
Phone (702) 844-4848

6525 N Decatur Blvd
Ste 150B
Las Vegas, NV 89131
Phone (702) 979-5903

6170 N Durango Dr
Ste 130
Las Vegas, NV 89149
Phone (702) 940-1550

6975 Aliante Pkwy
Ste 101B
North Las Vegas, NV 89084
Phone (702) 867-0087

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

Interoperability endpoints

  • Direct secure messaging: jnavalta212021@pdshealth.direct-ci.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1871017400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 N DURANGO DR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493923",
            "telephone_number": "702-940-1550",
            "fax_number": "702-940-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 Business Park Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891289000",
            "country_code": "US",
            "telephone_number": "702-844-4848",
            "fax_number": "702-844-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653 N Town Center Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89144",
            "country_code": "US",
            "telephone_number": "702-844-4842",
            "fax_number": "702-844-4845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVALTA",
        "first_name": "JULIA VIVIEN",
        "middle_name": "DE JESUS",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN002556",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871017400",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA VIVIEN",
            "last_name": "DE JESUS",
            "middle_name": "ROXAS",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.