Individual provider Active NPI

Alyson Blight

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1962874800
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002056 Issued in NV
Practice address
5440 W Sahara Ave
#302
Las Vegas, NV 89146-0354
Phone
(702) 633-0207
Fax
(702) 633-0254
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002056 NV Primary

Addresses

Primary practice location

5440 W Sahara Ave
#302
Las Vegas, NV 89146-0354

Mailing address

2031 McDaniel St Ste 210
North Las Vegas, NV 89030-6309
Phone (702) 633-0207

Other identifiers 1

IdentifierTypeStateIssuer
1962874800MedicaidNV

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
I20151204001415 NV Practitioner - Nurse Practitioner 5698075125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathan Adelson Hospice IncGroup PAC ID 6709820129, 10 clinicians

Practice addresses (Care Compare)

2270 E Commercial Rd
Suite B
Pahrump, NV 89048-4704
Phone (702) 751-6700

3150 N Tenaya Way
Suite 350
Las Vegas, NV 89128-0489
Phone (702) 733-0320

Hospital & facility affiliations

  • Nathan Adelson Hospice Hospice, Las Vegas, NV, CCN 291500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN002056NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Compassionate Care and Palliative Services Institute CurrentSince Apr 10, 2017 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

4141 University Center Dr
Las Vegas, NV 89119
Phone (702) 796-3162

3150 N Tenaya Way
Ste 350
Las Vegas, NV 89128
Phone (702) 243-6400

2270 Commercial Dr
Ste B
Pahrump, NV 89048
Phone (702) 751-6700

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1962874800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST STE 210",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306309",
            "telephone_number": "702-633-0207",
            "fax_number": "702-633-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W SAHARA AVE",
            "address_2": "#302",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460354",
            "telephone_number": "702-633-0207",
            "fax_number": "702-633-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIGHT",
        "first_name": "ALYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962874800",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.