Organization Active NPI

Vegas Medical Home Visit LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1972253946
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
VEGAS MEDICAL HOME VISIT LLC
Practice address
2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone
(725) 577-9285
Fax
(702) 441-1835
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Ms. Norydel Escaner
Title
Manager
Phone
(725) 577-9285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397

Mailing address

2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone (725) 577-9285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220515000053 NV Part B Supplier - Clinic/Group Practice 3678950557 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6166 S Sandhill Rd
Ste 112
Las Vegas, NV 89120
Phone (725) 248-9127

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1972253946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W SAHARA AVE STE 800",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024397",
            "telephone_number": "725-577-9285",
            "fax_number": "702-441-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W SAHARA AVE STE 800",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024397",
            "telephone_number": "725-577-9285",
            "fax_number": "702-441-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS MEDICAL HOME VISIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "ESCANER",
        "authorized_official_first_name": "NORYDEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "725-577-9285",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "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 Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.