Active NPI
Evarista C Nnadi, M.D.
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1962472050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10975
- Practice address
- 2410 Fire Mesa St
#180
Las Vegas, NV 89128-9016 - Phone
- (702) 992-6888
- Fax
- (702) 992-6880
- NPI assigned
- Jan 23, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10975 | NV | Primary |
Addresses
Primary practice location
2410 Fire Mesa St
#180
Las Vegas, NV 89128-9016
Mailing address
2410 Fire Mesa St
#180
Las Vegas, NV 89128-9016
Phone (702) 992-6888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS99999 | Other | NV | PHARMACY/CDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962472050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 FIRE MESA ST",
"address_2": "#180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289016",
"telephone_number": "702-992-6888",
"fax_number": "702-992-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 FIRE MESA ST",
"address_2": "#180",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891289016",
"telephone_number": "702-992-6888",
"fax_number": "702-992-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NNADI",
"first_name": "EVARISTA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "10975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY/CDS",
"identifier": "CS99999",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.