Individual provider Active NPI

Noelle Davis, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1992537906
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
877471 Issued in NV
Practice address
6268 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-3241
Phone
(702) 867-0017
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 877471 NV Primary

Addresses

Primary practice location

6268 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-3241

Mailing address

6268 S Rainbow Blvd Ste 110
Las Vegas, NV 89118-3241
Phone (702) 867-0017

Other practice location 1

1607 E Windmill Ln Ste 200
Las Vegas, NV 89123-1910
Phone (702) 861-1183

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
I20250428003708 NV Practitioner - Nurse Practitioner 0749706257 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Integrated Health of NLV Family CurrentSince Jul 1, 2025 Accepting new patients
Summit Integrated Health of Nevada CurrentSince Feb 10, 2025 Accepting new patients

Locations

2670 Crimson Canyon Dr
Ste 150
Las Vegas, NV 89128
Phone (702) 359-7246

2590 Nature Park Dr
Ste 135
North Las Vegas, NV 89084
Phone (702) 636-2843

Organizations & group practices 2

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1992537906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183241",
            "telephone_number": "702-867-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 S RAINBOW BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183241",
            "telephone_number": "702-867-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 E Windmill Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891231910",
            "country_code": "US",
            "telephone_number": "702-861-1183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "877471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.