Individual provider Active NPI

Lydia Rae Owens, APRN-CNM

  • Advanced Practice Midwife
  • Las Vegas, NV
National Provider Identifier
1992414528
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
861498 Issued in NV
Practice address
2810 W Charleston Blvd Ste 78
Las Vegas, NV 89102-1910
Phone
(702) 269-6018
Fax
(702) 269-6081
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 861498 NV Primary

Addresses

Primary practice location

2810 W Charleston Blvd Ste 78
Las Vegas, NV 89102-1910

Mailing address

332 S Jones Blvd
Las Vegas, NV 89107-2623
Phone (702) 269-6018

Other practice location 1

332 S Jones Blvd
Las Vegas, NV 89107-2623
Phone (702) 269-6018

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421000558 NV Practitioner - Certified Nurse Midwife (CNM) 4284099565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baby'S First Day, LLC Advanced Practice Midwife CurrentSince Mar 29, 2023 Accepting new patients

Locations

2810 W Charleston Blvd
Ste 78
Las Vegas, NV 89102
Phone (702) 269-6018

332 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 269-6018

820 Rancho Ln
Ste 60
Las Vegas, NV 89106
Phone (702) 269-6018

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1992414528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-269-6018",
            "fax_number": "702-269-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 78",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910",
            "telephone_number": "702-269-6018",
            "fax_number": "702-269-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891072623",
            "country_code": "US",
            "telephone_number": "702-269-6018",
            "fax_number": "702-269-6081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "LYDIA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "861498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.