NPIMap

Organization Active NPI

Family Nurse Practitioner LLC.

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1902679103
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
FAMILY NURSE PRACTITIONER LLC.
Practice address
8084 W Sahara Ave Ste B
Las Vegas, NV 89117-1977
Phone
(702) 257-7246
NPI assigned
Oct 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa A ChachereNPI 1881504488
Title
Billing Credentialing Specialist
Phone
(702) 502-7254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

8084 W Sahara Ave Ste B
Las Vegas, NV 89117-1977

Mailing address

8084 W Sahara Ave Ste B
Las Vegas, NV 89117-1977
Phone (702) 502-7254

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1902679103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8084 W SAHARA AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171977",
            "telephone_number": "702-502-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8084 W SAHARA AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171977",
            "telephone_number": "702-257-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NURSE PRACTITIONER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "CHACHERE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "702-502-7254"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.