Active NPI
Nikki V. Macalalad, APRN
- Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN001310
- Practice address
- 5820 S Eastern Ave
Suite 100
Las Vegas, NV 89119-3002 - Phone
- (702) 737-1880
- Fax
- (702) 737-5988
- NPI assigned
- May 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN001310 | NV | Primary |
Addresses
Primary practice location
5820 S Eastern Ave
Suite 100
Las Vegas, NV 89119-3002
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 737-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922209071 | Medicaid | NV |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Southwest Medical Associates, Inc | Current | Accepting new patients |
Locations
300 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 435-4301
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
5820 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 737-1880
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1922209071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-737-1880",
"fax_number": "702-737-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 S EASTERN AVE",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193002",
"telephone_number": "702-737-1880",
"fax_number": "702-737-5988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACALALAD",
"first_name": "NIKKI",
"middle_name": "V.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APN001310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922209071",
"state": "NV"
}
],
"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 Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.