MS. LOTIS GAY PERILLA EDANO (NPI# 1003249368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003249368 |
| Entity Type | Individual |
| Full Name | MS. LOTIS GAY PERILLA EDANO |
| Credential | APRN, NP-C |
| Practice Address |
2545 S Bruce St Ste 200 Las Vegas NV 89169-1778 |
| Mailing Address |
3003 N Central Ave Suite 400 Phoenix AZ 85012-2902 |
| Practice Telephone | 7027322438 |
| Practice Fax Number | 7027337876 |
| Mailing Telephone | 6023513015 |
| Mailing Fax Number | 6022243315 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN001551 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 836163 | 05 | |
| NV | 1003249368 | 05 |
| Street Address |
2545 S BRUCE ST STE 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-1778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006384 | Harsha M Mulchandani | Internal Medicine | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2005-10-11 |
| 1326587155 | Kristina Clarisse M Doble | Nurse Practitioner | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2017-02-13 |
| 1689023954 | Lubia Oxhorn | Nurse Practitioner | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2016-06-08 |
| 1508248337 | Abdallah Alali | Internal Medicine | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2015-06-29 |
| 1265831432 | Nkdhc Rudnitsky Pllc | Surgery | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2014-08-14 |
| 1457785743 | Emerlinda Mendoza Sambo | Nurse Practitioner | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2013-08-22 |
| 1821398280 | Agnes Galvez | Dietitian, Registered | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2010-11-01 |
| 1093999104 | Peilin Wei | Internal Medicine | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2007-12-26 |
| 1336349158 | Teena Tandon | Internal Medicine | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2007-07-19 |
| 1295861631 | Zeeshan Fatima Syed | Internal Medicine | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396651 | Alma F Talavera | Nurse Practitioner | 5982 Juniper Falls Ave, Las Vegas, NV 89130-2827 | 2020-11-06 |
| 1154922300 | Reynaly Campos | Nurse Practitioner | 10680 Spruce Bough St, Las Vegas, NV 89183-4631 | 2020-11-04 |
| 1811596463 | Carolina Salaberrios | Nurse Practitioner | 8440 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7648 | 2020-10-23 |
| 1851990840 | John Marius Agravio Tolentino | Nurse Practitioner | 3557 Winter Wren St, Las Vegas, NV 89122-3539 | 2020-10-21 |
| 1811596760 | Emmelyn Pineda Rivas | Nurse Practitioner | 7852 Lovely Pine Pl, Las Vegas, NV 89143-4431 | 2020-10-21 |
| 1659979052 | Francis Torres | Nurse Practitioner | 10010 Fort Pike St, Las Vegas, NV 89178-7543 | 2020-10-16 |
| 1144828849 | Julio Arvie Mata Madarazo Jr. | Nurse Practitioner | 6284 Canvasback Ave, Las Vegas, NV 89122-3545 | 2020-10-14 |
| 1104424076 | Khelsey Macaspac | Nurse Practitioner | 6446 Dunns River St, Las Vegas, NV 89166-8064 | 2020-10-13 |
| 1912505199 | Angelica Villahermosa | Nurse Practitioner | 8115 Dancing Bull Ct, Las Vegas, NV 89139-6702 | 2020-10-11 |
| 1467050625 | Ruby Borja | Nurse Practitioner | 7329 Perkins Hill St, Las Vegas, NV 89166-6505 | 2020-10-10 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.