Individual provider Active NPI

Cynthia Salupen Ozawa, APN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1871673525
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
848 Issued in NV
Practice address
8985 S Pecos Rd
Suite 4a
Henderson, NV 89074-7162
Phone
(702) 433-1332
Fax
(702) 547-4931
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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 848 NV Primary

Addresses

Primary practice location

8985 S Pecos Rd
Suite 4a
Henderson, NV 89074-7162

Mailing address

458 Wendover Hills Ave
Las Vegas, NV 89123-6028
Phone (702) 435-9694

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
I20140715002536 NV Practitioner - Nurse Practitioner 0648495200 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
848NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wikler Family Practice Associates Professional Corporation CurrentSince Jun 1, 2014 Accepting new patients

Locations

8985 S Pecos Rd
Ste 4A
Henderson, NV 89074
Phone (702) 433-1332

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319328000000",
    "number": "1871673525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 WENDOVER HILLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236028",
            "telephone_number": "702-435-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8985 S PECOS RD",
            "address_2": "SUITE 4A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747162",
            "telephone_number": "702-433-1332",
            "fax_number": "702-547-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZAWA",
        "first_name": "CYNTHIA",
        "middle_name": "SALUPEN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.