Individual provider Active NPI

Stephanie Joy Otoo, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1942079165
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
819789 Issued in NV
Practice address
6660 Goldencreek Way
Las Vegas, NV 89108-8400
Phone
(714) 722-4959
NPI assigned
Dec 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 819789 NV Primary

Addresses

Primary practice location

6660 Goldencreek Way
Las Vegas, NV 89108-8400

Mailing address

6660 Goldencreek Way
Las Vegas, NV 89108-8400
Phone (714) 722-4959

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
I20241113000003 NV Practitioner - Nurse Practitioner 0547794661 Reassigns benefits to 1 organization

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
Uzma Zafar MD PCGroup PAC ID 3476605536, 4 clinicians

Practice addresses (Care Compare)

5536 S Fort Apache Rd
Suite 102
Las Vegas, NV 89148-7687
Phone (725) 666-1636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uzma Zafar MD PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

5536 S Fort Apache Rd
Ste 102
Las Vegas, NV 89148
Phone (702) 456-8299

11035 Lavender Hill Dr
Ste 160441
Las Vegas, NV 89135

Organizations & group practices 1

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": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1942079165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 GOLDENCREEK WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891088400",
            "telephone_number": "714-722-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 GOLDENCREEK WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891088400",
            "telephone_number": "714-722-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOO",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "819789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.