Individual provider Active NPI

Natalie Huxtable, FNP-C

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1962167585
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
826272 Issued in NV
Practice address
2625 Wigwam Pkwy
Henderson, NV 89074-7325
Phone
(815) 530-9108
NPI assigned
Nov 8, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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 826272 NV Primary

Addresses

Primary practice location

2625 Wigwam Pkwy
Henderson, NV 89074-7325

Mailing address

2625 Wigwam Pkwy
Henderson, NV 89074-7325

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
I20220519002089 NV Practitioner - Nurse Practitioner 5193102747 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Kermani MD LTD CurrentSince May 11, 2022 Accepting new patients
Desert Gastroenterology Associates Gastroenterology CurrentSince Oct 1, 2022 Accepting new patients
Ben Kermani, M.D., LTD Past Accepting new patients

Locations

2625 Wigwam Pkwy
Ste 112
Henderson, NV 89074
Phone (702) 255-5900

11920 Southern Highlands Pkwy
Ste 100
Las Vegas, NV 89141
Phone (702) 435-1995

700 E Silverado Ranch Blvd
Ste 140
Las Vegas, NV 89183
Phone (702) 435-1995

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, 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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1962167585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747325",
            "telephone_number": "815-530-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUXTABLE",
        "first_name": "NATALIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "826272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.