Individual provider Active NPI

Alma Felinor Fanco Talavera, APRN-C

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1891396651
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
834309 Issued in NV
Practice address
1820 E Lake Mead Blvd
North Las Vegas, NV 89030-0160
Phone
(702) 916-3537
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 834309 NV Primary

Addresses

Primary practice location

1820 E Lake Mead Blvd
North Las Vegas, NV 89030-0160

Mailing address

216 N Lamb Blvd
Las Vegas, NV 89110-4674
Phone (702) 459-2401

Other practice location 1

2801 S Valley View Blvd
Las Vegas, NV 89102-0116
Phone (702) 780-6768

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
I20220208001224 NV Practitioner - Nurse Practitioner 6507259926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alba Family Clinic IncGroup PAC ID 2567850001, 4 clinicians

Practice addresses (Care Compare)

2560 S Maryland Pkwy
Suite 12
Las Vegas, NV 89109-1672
Phone (702) 444-7524

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jam Healthcare Inc CurrentSince Dec 15, 2021 Accepting new patients
Alba Family Clinic Inc CurrentSince Jun 4, 2022 Accepting new patients

Locations

2801 S Valley View Blvd
Ste 4
Las Vegas, NV 89102
Phone (702) 780-6768

2560 S Maryland Pkwy
Ste 12
Las Vegas, NV 89109
Phone (702) 444-7524

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1891396651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N LAMB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104674",
            "telephone_number": "702-459-2401",
            "fax_number": "702-459-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890300160",
            "telephone_number": "702-916-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 S Valley View Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891020116",
            "country_code": "US",
            "telephone_number": "702-780-6768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAVERA",
        "first_name": "ALMA FELINOR",
        "middle_name": "FANCO",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "834309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.