Individual provider Active NPI

William P Emmerling, FNP C ED D

  • Primary Care Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1992713671
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN000660 Issued in NV
Practice address
1490 W Sunset Rd Ste 120
Henderson, NV 89014-6635
Phone
(855) 955-5428
Fax
(844) 389-0835
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN000660 NV
Infectious Disease Physician 207RI0200X APN000660 NV
Nurse Practitioner 363L00000X NP4183 CA
Primary Care Nurse Practitioner 363LP2300X APN000660 NV Primary

Addresses

Primary practice location

1490 W Sunset Rd Ste 120
Henderson, NV 89014-6635

Mailing address

1490 W Sunset Rd Ste 120
Henderson, NV 89014-6635
Phone (630) 386-5832

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
I20130403000036 NV Practitioner - Nurse Practitioner 7719122308 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP4183CAMDNurse Practitioner
APN000660NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Equality Project Infectious Disease CurrentSince Aug 25, 2025 Accepting new patients
Equality Project Infectious Disease CurrentSince Aug 3, 2022 Accepting new patients
Superior Health Brown LTD CurrentSince Nov 11, 2012 Accepting new patients
Serenity Counseling LLC CurrentSince Dec 17, 2019 Accepting new patients
Demartino Family Chiropractic PastSince Nov 11, 2012 Accepting new patients

Locations

1490 W Sunset Rd
Ste 120
Henderson, NV 89014
Phone (855) 955-5428

1661 W Horizon Ridge Pkwy
Ste 280
Henderson, NV 89012
Phone (702) 643-9900

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (702) 815-1554

1901 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 486-0000

2225 Civic Center Dr
Ste 136
North Las Vegas, NV 89030
Phone (855) 955-5428

65 Regency Way
Ste B
Reno, NV 89509
Phone 8559555409 ext. 815

Organizations & group practices 6

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1992713671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W SUNSET RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146635",
            "telephone_number": "630-386-5832",
            "fax_number": "844-389-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W SUNSET RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146635",
            "telephone_number": "855-955-5428",
            "fax_number": "844-389-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMERLING",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "FNP C ED D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000660",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "APN000660",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP4183",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "APN000660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.