Individual provider Active NPI

Courtney G Lupia Blasi, RN, WHNP

  • Women's Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1912057191
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
820830 Issued in NV
Practice address
400 S 4TH St Ste 500
Las Vegas, NV 89101-6207
Phone
(888) 731-8994
NPI assigned
Jan 11, 2007
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R2038096 MN
Registered Nurse 163W00000X 176701 CO
Women's Health Nurse Practitioner 363LW0102X 820830 NV Primary

Addresses

Primary practice location

400 S 4TH St Ste 500
Las Vegas, NV 89101-6207

Mailing address

400 S 4TH St Ste 500
Las Vegas, NV 89101-6207
Phone (888) 731-8994

Other practice location 1

139 Centre St Ph 120
New York, NY 10013-4559
Phone (888) 731-8994

Other practice location 2

121 Washington Ave N Fl 2
Minneapolis, MN 55401-2503
Phone (888) 731-8994

Other practice location 3

35 E Horizon Rig Ste 110
Henderson, NV 89002-7906
Phone (702) 574-4095

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN
19077734MedicaidCO

Other names 1

  • Courtney G Lupia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176701COMDRegistered Nurse
820830NVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DL Howard MD PHD PLLC CurrentSince Jan 1, 2023 Accepting new patients
Advanced Fertility Care, PLLC Past Accepting new patients

Locations

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1912057191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016207",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016207",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Centre St Ph 120",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134559",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Washington Ave N Fl 2",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554012503",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 E Horizon Rig Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890027906",
            "country_code": "US",
            "telephone_number": "702-574-4095",
            "fax_number": "702-935-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUPIA BLASI",
        "first_name": "COURTNEY",
        "middle_name": "G",
        "credential": "RN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "R2038096",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "176701",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "820830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19077734",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LUPIA",
            "middle_name": "G",
            "credential": "RN, WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.