YAMILKA CASTILLO GONGORA (NPI# 1053690362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053690362 |
| Entity Type | Individual |
| Full Name | YAMILKA CASTILLO GONGORA |
| Credential | APRN |
| Practice Address |
4275 Burnham Ave Ste 210 Las Vegas NV 89119-5400 |
| Practice Telephone | 7023847669 |
| Practice Fax Number | 7023857669 |
| Mailing Telephone | 7023847669 |
| Mailing Fax Number | 7023857669 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
827217 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4275 BURNHAM AVE STE 210 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822026 | Anna Flores | Nurse Practitioner | 4275 Burnham Ave Ste 210, Las Vegas, NV 89119-5400 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649468 | Mary Denisse Toribio | Nurse Practitioner | 138 Lomita Heights Dr, Las Vegas, NV 89138-6158 | 2020-11-05 |
| 1407315344 | Delfina Simpson | Nurse Practitioner | 8680 W Warm Springs Rd Ste 155, Las Vegas, NV 89148-1828 | 2019-03-19 |
| 1801362942 | Mary Ann Lorenzo Enriquez | Nurse Practitioner | 6870 S Rainbow Blvd Ste 107, Las Vegas, NV 89118-2107 | 2018-10-16 |
| 1164901245 | Jasmina Santos Fornbacher | Nurse Practitioner | 7325 S Pecos Rd Ste 102, Las Vegas, NV 89120-3768 | 2018-08-09 |
| 1275037517 | Mary Manoharan | Nurse Practitioner | 1240 N Mlk Blvd, Las Vegas, NV 89106-2825 | 2018-03-21 |
| 1487192308 | Hannah Harris-austin | Nurse Practitioner | 494 Redruth Dr, Las Vegas, NV 89178-1244 | 2017-02-11 |
| 1275908444 | Theophilus Mbi Akoh | Nurse Practitioner | 2831 Business Park Ct Ste 110, Las Vegas, NV 89128-9000 | 2015-12-14 |
| 1245625284 | Diversified Health Care Services LLC | Nurse Practitioner | 4550 W Oakey Blvd Ste 111-n, Las Vegas, NV 89102-1581 | 2015-04-06 |
| 1114270899 | Karissa Tan | Nurse Practitioner | 4750 W Oakey Blvd Ste 2b, Las Vegas, NV 89102-1535 | 2012-10-18 |
| 1740584234 | Boja M Lemich | Nurse Practitioner | 6773 W Charleston Blvd, Las Vegas, NV 89146 | 2010-12-27 |
| 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.