Individual provider Active NPI

Baraquel Lagasca, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1891548087
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
876942 Issued in NV
Practice address
8090 S Durango Dr Ste 1021008
Las Vegas, NV 89113-4426
Phone
(702) 518-0555
NPI assigned
Apr 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 876942 NV Primary

Addresses

Primary practice location

8090 S Durango Dr Ste 1021008
Las Vegas, NV 89113-4426

Mailing address

8090 S Durango Dr Ste 1021008
Las Vegas, NV 89113-4426

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
I20240722002005 NV Practitioner - Nurse Practitioner 8729394754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Malone-Davis Neurology PLLCGroup PAC ID 4880968734, 8 clinicians

Practice addresses (Care Compare)

7730 W Cheyenne Ave
Suite 107
Las Vegas, NV 89129-8412
Phone (725) 221-1568

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
876942NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Malone-Davis Neurology PLLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

8020 S Rainbow Blvd
Ste 100
Las Vegas, NV 89139
Phone (432) 210-8950

7730 W Cheyenne Ave
Ste 107
Las Vegas, NV 89129
Phone (702) 240-8646

4510 S Eastern Ave
Ste 4
Las Vegas, NV 89119
Phone (702) 796-0201

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFABBD

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1891548087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 S DURANGO DR STE 1021008",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 S DURANGO DR STE 1021008",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134426",
            "telephone_number": "702-518-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGASCA",
        "first_name": "BARAQUEL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "876942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.