Active NPI
Mary Louise Engelhardt, APRN-CNM
- Midwife
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 825007
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825007 | NV | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlv Medicine | Current | Accepting new patients | |
| Unlv Medicine | Current | Accepting new patients | |
| Iriye Medical Group PLLC | Maternal & Fetal Medicine | Current | 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
- 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.
-
dba High Risk Pregnancy Center
- Maternal & Fetal Medicine Physician
- Las Vegas, NV
- NPI 1467496240
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1407397235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.