MR. EDWARD JASON CARBONQUILLO AQUINO (NPI# 1881177400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881177400 |
| Entity Type | Individual |
| Full Name | MR. EDWARD JASON CARBONQUILLO AQUINO |
| Credential | MSN, APRN |
| Practice Address |
8551 W Lake Mead Blvd Ste 180 Las Vegas NV 89128-7649 |
| Practice Telephone | 7027501230 |
| Mailing Telephone | 7027501230 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN002873 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8551 W LAKE MEAD BLVD STE 180 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-7649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588624019 | Nudrat Rizvi Nauman | Pediatrics | 8551 W Lake Mead Blvd Ste 180, Las Vegas, NV 89128-7649 | 2006-03-27 |
| 1225509961 | Erin Davies | Pediatrics | 8551 W Lake Mead Blvd Ste 180, Las Vegas, NV 89128-7649 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740773183 | Julie Bascones | Nurse Practitioner | 3050 E Bonanza Rd Ste 130, Las Vegas, NV 89101-3706 | 2018-06-11 |
| 1770027708 | Rowena Cruz Garcia | Nurse Practitioner | 3100 W Charleston Blvd Ste 210, Las Vegas, NV 89102-1900 | 2016-12-09 |
| 1659756021 | Victoria Sijuade | Nurse Practitioner | 6850 N Durango Dr Ste 301, Las Vegas, NV 89149-4597 | 2015-07-27 |
| 1376956789 | Jeffery Ray Tackett | Nurse Practitioner | 5575 S Durango Dr Ste 103, Las Vegas, NV 89113-1834 | 2014-06-04 |
| 1891001616 | Nikki Cuasay | Nurse Practitioner | 657 N Town Center Dr Fl 5, Las Vegas, NV 89144-6367 | 2010-08-31 |
| 1023338738 | Michaela Susan Brooks | Nurse Practitioner | 968 E Sahara Ave, Las Vegas, NV 89104-3022 | 2010-06-03 |
| 1861642480 | Tisha Saori Fujino | Nurse Practitioner | 6670 S. Tenaya Way #180, Las Vegas, NV 89113 | 2008-09-19 |
| 1871752303 | Meredith Nettles D'agostino | Nurse Practitioner | 500 N Rainbow Blvd Ste 300-345, Las Vegas, NV 89107-1082 | 2008-06-09 |
| 1023186889 | Jill Kathleen Schwartz | Nurse Practitioner | 10105 Banburry Cross Drive Suite 370, Las Vegas, NV 89144 | 2006-12-01 |
| 1861569824 | Olga R Kalbermatter | Nurse Practitioner | 1090 E Desert Inn Rd Ste 200, Las Vegas, NV 89109-2803 | 2006-11-28 |
| 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.