Organization Active NPI

Diola Elite Wound Care PLLC

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1912704586
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
DIOLA ELITE WOUND CARE PLLC
Practice address
3280 N Rainbow Blvd # 150
Las Vegas, NV 89108-5011
Phone
(818) 312-6442
NPI assigned
Feb 28, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Lea DiolaNPI 1073115614
Title
Owner
Phone
(818) 312-6442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

3280 N Rainbow Blvd # 150
Las Vegas, NV 89108-5011

Mailing address

3280 N Rainbow Blvd # 150
Las Vegas, NV 89108-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624002848 NV Part B Supplier - Clinic/Group Practice 1052823101 Receives reassigned benefits from 6 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3280 N Rainbow Blvd
#150
Las Vegas, NV 89108
Phone (702) 489-9000

Practitioners & affiliated clinicians

Practitioners 6

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": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1912704586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 N RAINBOW BLVD # 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N RAINBOW BLVD # 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085011",
            "telephone_number": "818-312-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIOLA ELITE WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "DIOLA",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-312-6442"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "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 Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.