Individual provider Active NPI

Alexandra Louisse Panganiban Callanta, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1881298370
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
897164 Issued in NV
Practice address
10374 Celestial Echo St
Las Vegas, NV 89183-4235
Phone
(702) 769-9367
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 897164 NV Primary

Addresses

Primary practice location

10374 Celestial Echo St
Las Vegas, NV 89183-4235

Mailing address

10374 Celestial Echo St
Las Vegas, NV 89183-4235
Phone (702) 769-9367

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
I20260529000795 NV Practitioner - Nurse Practitioner 6709356835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10374 Celestial Echo St
Las Vegas, NV 89183-4235

8965 S Pecos Rd
Suite 11a
Henderson, NV 89074-7159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
897164NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
702 Caregivers, LLC PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 2

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1881298370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10374 CELESTIAL ECHO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834235",
            "telephone_number": "702-769-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10374 CELESTIAL ECHO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891834235",
            "telephone_number": "702-769-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLANTA",
        "first_name": "ALEXANDRA LOUISSE",
        "middle_name": "PANGANIBAN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "897164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.