Individual provider Active NPI

Enrique Tamayo Giraudis, NP

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1912699190
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
825510 Issued in NV
Practice address
916 E Sunset Rd
Henderson, NV 89011-5476
Phone
(702) 708-1291
NPI assigned
May 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 825510 NV Primary

Addresses

Primary practice location

916 E Sunset Rd
Henderson, NV 89011-5476

Mailing address

PO Box 336613
North Las Vegas, NV 89033-6613
Phone (818) 839-9258

Other practice location 1

2501 W Burbank Blvd
Burbank, CA 91505-2347
Phone (818) 856-9535

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
I20240307000493 NV Practitioner - Nurse Practitioner 2264878701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med-Care Providers LLCGroup PAC ID 9133578297, 9 clinicians

Practice addresses (Care Compare)

2121 E Flamingo Rd
Las Vegas, NV 89119-5124
Phone (702) 723-0303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Wound and Skin Care Inc CurrentSince Jan 13, 2024 Accepting new patients
Compass Palliative Care, Inc PastSince Jul 1, 2023 Accepting new patients
Regents Univ of Calif Los Angeles PastSince Jul 1, 2023 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

201 N Buffalo Dr
Las Vegas, NV 89145
Phone (702) 242-2737

Organizations & group practices 4

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1912699190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336613",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890336613",
            "telephone_number": "818-839-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E SUNSET RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890115476",
            "telephone_number": "702-708-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 W Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915052347",
            "country_code": "US",
            "telephone_number": "818-856-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAYO GIRAUDIS",
        "first_name": "ENRIQUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "825510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.