Individual provider Active NPI

Mary Louise Engelhardt, APRN-CNM

  • Midwife
  • Las Vegas, NV
National Provider Identifier
1972067668
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
825007 Issued in NV
Practice address
517 Rose St
Las Vegas, NV 89106-4020
Phone
(702) 438-4692
Fax
(702) 485-2372
NPI assigned
Jan 26, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 825007 NV Primary

Addresses

Primary practice location

517 Rose St
Las Vegas, NV 89106-4020

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Other practice location 1

6250 N Durango Dr
Las Vegas, NV 89149-3916
Phone (702) 438-4692

Other practice location 2

3930 W Ann Rd
North Las Vegas, NV 89031-3841
Phone (702) 438-4692

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191121002828 NV Practitioner - Certified Nurse Midwife (CNM) 5597197087 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
825007NVMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Sep 20, 2024 Accepting new patients
Unlv Medicine CurrentSince Sep 20, 2024 Accepting new patients
Iriye Medical Group PLLC Maternal & Fetal Medicine CurrentSince Oct 1, 2021 Accepting new patients

Locations

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

6850 N Durango Dr
Ste 401
Las Vegas, NV 89149
Phone (702) 463-2981

700 Shadow Ln
Ste 165
Las Vegas, NV 89106
Phone (702) 522-9640

Interoperability endpoints

  • Direct secure messaging: mary.engelhardt.1@20402.direct.athenahealth.com

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": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1972067668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ROSE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064020",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6250 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493916",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 W Ann Rd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890313841",
            "country_code": "US",
            "telephone_number": "702-438-4692",
            "fax_number": "702-485-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELHARDT",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NV",
            "license": "825007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.