Active NPI
Evita Daradal Alegre, RN
- Registered Nurse
- Las Vegas, NV
National Provider Identifier
1972893196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN63416
- Practice address
- 4275 Burnham Ave Ste 255
Las Vegas, NV 89119-8204 - Phone
- (702) 380-1060
- Fax
- (702) 380-1081
- NPI assigned
- Apr 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN63416 | OK | Primary |
Addresses
Primary practice location
4275 Burnham Ave Ste 255
Las Vegas, NV 89119-8204
Mailing address
4275 Burnham Ave Ste 255
Las Vegas, NV 89119-8204
Phone (702) 380-1060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001702161 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN63416 | OK | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1972893196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4275 BURNHAM AVE STE 255",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891198204",
"telephone_number": "702-380-1060",
"fax_number": "702-380-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 BURNHAM AVE STE 255",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891198204",
"telephone_number": "702-380-1060",
"fax_number": "702-380-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEGRE",
"first_name": "EVITA",
"middle_name": "DARADAL",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "RN63416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001702161",
"state": "NV"
}
],
"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 Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.