Individual provider Active NPI

Beth Moreno, CNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1992283493
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
810143 Issued in NV
Practice address
9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone
(702) 240-8646
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 810143 NV Primary

Addresses

Primary practice location

9010 W Cheyenne Ave
Las Vegas, NV 89129-8932

Mailing address

9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone (702) 240-8646

Other practice location 1

4845 S Rainbow Blvd Ste 402
Las Vegas, NV 89103-4750
Phone (362) 980-0702

Other names 1

  • Beth Weber Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181012000754 NV Practitioner - Nurse Practitioner 0244582617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dana Forte D O LTDGroup PAC ID 1254239387, 14 clinicians

Practice addresses (Care Compare)

9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone (702) 240-8646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
810143NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Forte D O LTD Single Specialty CurrentSince Aug 10, 2018 Accepting new patients

Locations

1535 W Warm Springs Rd
Ste 135
Henderson, NV 89014
Phone (702) 450-3385

9010 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 240-8646

4845 S Rainbow Blvd
Ste 402
Las Vegas, NV 89103
Phone (702) 362-9800

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1992283493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298932",
            "telephone_number": "702-240-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298932",
            "telephone_number": "702-240-8646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 S Rainbow Blvd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891034750",
            "country_code": "US",
            "telephone_number": "362-980-0702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "BETH",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "810143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "WEBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.