Individual provider Active NPI

Nicole Theuvenet, M.D.

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1972662393
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
7846 Issued in NV
Practice address
8275 S Eastern Ave Ste 253
Las Vegas, NV 89123-2505
Phone
(702) 933-0971
Fax
(702) 933-0974
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 7846 NV Primary

Addresses

Primary practice location

8275 S Eastern Ave Ste 253
Las Vegas, NV 89123-2505

Mailing address

8275 S Eastern Ave Ste 253
Las Vegas, NV 89123-2505
Phone (702) 933-0971

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000078 NV Practitioner - NeurologyPractitioner - Psychiatry 3173701133 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, Irvine, California College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8275 S Eastern Ave
Suite 253
Las Vegas, NV 89123-2505
Phone (702) 933-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Neurology Associates, LLC Neurology CurrentSince Jul 20, 2019 Accepting new patients

Locations

8275 S Eastern Ave
Ste 253
Las Vegas, NV 89123
Phone (702) 933-0971

8475 S Eastern Ave
Ste 203
Las Vegas, NV 89123
Phone (702) 933-0971

8490 S Eastern Ave
Ste B1
Las Vegas, NV 89123
Phone (702) 269-0204

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1972662393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 S EASTERN AVE STE 253",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232505",
            "telephone_number": "702-933-0971",
            "fax_number": "702-933-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 S EASTERN AVE STE 253",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232505",
            "telephone_number": "702-933-0971",
            "fax_number": "702-933-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEUVENET",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "7846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.