Individual provider Active NPI

Bernadette N Yalung-Almodiel, P.A.

  • Medical Physician Assistant
  • Henderson, NV
National Provider Identifier
1942479233
Registry record updated Dec 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1086 Issued in NV
Practice address
98 E Lake Mead Pkwy
Suite 103
Henderson, NV 89015-5540
Phone
(702) 868-0327
Fax
(702) 868-0290
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1086 NV
Medical Physician Assistant 363AM0700X PA1086 NV Primary

Addresses

Primary practice location

98 E Lake Mead Pkwy
Suite 103
Henderson, NV 89015-5540

Mailing address

3325 Research Way
Carson City, NV 89706-7913
Phone (775) 888-6610

Other identifiers 1

IdentifierTypeStateIssuer
1942479233MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1086NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers Inc CurrentSince Sep 8, 2014 Accepting new patients

Locations

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

762 14th St
Elko, NV 89801
Phone (775) 738-5850

Interoperability endpoints

  • Direct secure messaging: byalungalmodiel695222@direct.ochin.org
  • Direct secure messaging: byalung-almodiel@direct.nevadahealthcenters.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451174400000",
    "number": "1942479233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913",
            "telephone_number": "775-888-6610",
            "fax_number": "775-888-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E LAKE MEAD PKWY",
            "address_2": "SUITE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155540",
            "telephone_number": "702-868-0327",
            "fax_number": "702-868-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALUNG-ALMODIEL",
        "first_name": "BERNADETTE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2015-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1086",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942479233",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.