VANESSA MEDINA ANTOLIN (NPI# 1679932842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679932842 |
| Entity Type | Individual |
| Full Name | VANESSA MEDINA ANTOLIN |
| Credential | APRN |
| Practice Address |
4750 W Oakey Blvd Ste 3a Las Vegas NV 89102-1535 |
| Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
| Practice Telephone | 7028775199 |
| Mailing Telephone | 7028775199 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN002783 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95003001 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4750 W OAKEY BLVD STE 3A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434716 | Neil A Braunstein | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2005-08-15 |
| 1699382465 | Kelly Roberts | Student in an Organized Health Care Education/Training Program | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2020-09-25 |
| 1720141120 | Javier Ismael Garduno | Anesthesiology | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2006-12-18 |
| 1922024165 | Hae Ran Rhim-kim | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2006-07-14 |
| 1265476691 | Barry Gould | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102 | 2006-06-15 |
| 1629017090 | Kathy J Rabago | Physician Assistant | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2006-06-04 |
| 1215910096 | Bryan C Werner | Physical Medicine & Rehabilitation | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2005-11-25 |
| 1396737235 | Shannon Signorino | Internal Medicine | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292381 | Chs Caring Providers | Nurse Practitioner | 2330 Paseo Del Prado Ste C201, Las Vegas, NV 89102-4376 | 2020-10-15 |
| 1376157628 | Elizabeth Diana Moura | Nurse Practitioner | 8044 Farthings Hill Dr, Las Vegas, NV 89166-3701 | 2020-09-03 |
| 1639782493 | 4 Life Mental and Wellness Health | Nurse Practitioner | 3430 E Flamingo Rd Ste 140, Las Vegas, NV 89121-5003 | 2020-08-30 |
| 1861018236 | Kikina Wong | Nurse Practitioner | 8234 Violet Meadow Ct, Las Vegas, NV 89117-7607 | 2020-06-22 |
| 1306462742 | Total Care Medical Group LLC | Nurse Practitioner | 6040 S Durango Dr Ste 115, Las Vegas, NV 89113-1792 | 2020-06-22 |
| 1588286124 | Simrit Kaur Saraon Msn Pllc | Nurse Practitioner | 4604 Erin Glen St, Las Vegas, NV 89147-7253 | 2020-05-16 |
| 1730709577 | Michelle Cappatocio | Nurse Practitioner | 5270 S Fort Apache Rd Ste 330, Las Vegas, NV 89148-1726 | 2020-04-22 |
| 1992338800 | Kristen E Anderson | Nurse Practitioner | 9280 W Sunset Rd Ste 312, Las Vegas, NV 89148-4862 | 2020-02-19 |
| 1275172173 | Joan Lou Paras Nakar | Nurse Practitioner | 9793 Dakota Creek Ct, Las Vegas, NV 89141 | 2019-12-26 |
| 1972149102 | Mobile Medical Group LLC | Nurse Practitioner | 400 Shadow Ln Ste 210, Las Vegas, NV 89106-4358 | 2019-11-22 |
| 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.