Active NPI
Raymond Estrada Jr., RN
- Critical Care Medicine Registered Nurse
- Las Vegas, NV
National Provider Identifier
1881082733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN35186
- Practice address
- 4370 S Grand Canyon Dr Apt 1115
Las Vegas, NV 89147-7115 - Phone
- (702) 491-4123
- NPI assigned
- Dec 30, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN35186 | NV | Primary |
Addresses
Primary practice location
4370 S Grand Canyon Dr Apt 1115
Las Vegas, NV 89147-7115
Mailing address
4370 S Grand Canyon Dr Apt 1115
Las Vegas, NV 89147-7115
Phone (702) 491-4123
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN35186 | NV | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1881082733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 S GRAND CANYON DR APT 1115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891477115",
"telephone_number": "702-491-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 S GRAND CANYON DR APT 1115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891477115",
"telephone_number": "702-491-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "RAYMOND",
"name_suffix": "Jr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-30",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NV",
"license": "RN35186",
"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 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.