Active NPI
Stefanie Villarreal, LPN
- Licensed Practical Nurse
- Laughlin, NV
National Provider Identifier
1912704693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 221351
- Practice address
- 3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815 - Phone
- (702) 868-1400
- NPI assigned
- Feb 28, 2025
- Last updated
- Feb 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 221351 | AZ | Primary |
Addresses
Primary practice location
3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815
Mailing address
746 E Winchester St Ste 200
Murray, UT 84107-8513
Phone (801) 485-6166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221351 | AZ | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Nevada LLC | Current | Accepting new patients | |
| Canyon Nevada LLC | Current | Accepting new patients |
Locations
3100 S Needles Hwy
Ste 500
Laughlin, NV 89029
Phone (702) 703-1262
746 E Winchester St
Ste 200
Salt Lake City, UT 84107
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.
-
dba Canyon Home Care & Hospice
- Community Based Hospice Care Agency
- Laughlin, NV
- NPI 1922520675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1912704693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 E WINCHESTER ST STE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841078513",
"telephone_number": "801-485-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 S NEEDLES HWY STE 500",
"city": "LAUGHLIN",
"state": "NV",
"postal_code": "890290815",
"telephone_number": "702-868-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "STEFANIE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AZ",
"license": "221351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laughlin, NV
- Tri-State Community Healthcare Center
- Valley View Physician Practices LLC (Live Oak Family Medicine of Nevada)
- Valley View Physician Practices LLC (Valley View Medical Clinic of Laughlin)
- Natacha Vanhorn, RN
- Emily Vickery, BSN, RN
- Raeshell Walker, CNA
- Vanessa Walkley
- Debra Washburn, RN
- Tina Webb
- Kayla Wesley, RN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.