Individual provider Active NPI

Wilva Anne Cadianza, NP-C

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1952740904
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001553 Issued in NV
Practice address
10410 S Eastern Ave
Suite 100
Henderson, NV 89052-4195
Phone
(702) 407-8241
Fax
(702) 914-1924
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN001553 NV Primary

Addresses

Primary practice location

10410 S Eastern Ave
Suite 100
Henderson, NV 89052-4195

Mailing address

10410 S Eastern Ave
Suite 100
Henderson, NV 89052-4195
Phone (702) 407-8241

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
I20161118000793 NV Practitioner - Nurse Practitioner 3971695057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN001553NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Partners LLC Nurse Practitioner CurrentSince Jan 6, 2025 Accepting new patients

Locations

4815 W Russell Rd
Ste 10J
Las Vegas, NV 89118
Phone (702) 637-2180

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carepro Home Health ServicesLas Vegas, NV, CCN 297185 Home health agency W-2 Managing Employee Aug 6, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1952740904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 S EASTERN AVE",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524195",
            "telephone_number": "702-407-8241",
            "fax_number": "702-914-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 S EASTERN AVE",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524195",
            "telephone_number": "702-407-8241",
            "fax_number": "702-914-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADIANZA",
        "first_name": "WILVA",
        "middle_name": "ANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.