ABIGAIL CHRISTINE SOUZA FNP-C
Complete NPI Record 1003499013
Nurse Practitioner - Family in Las Vegas, NV
Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
63.93/100
CMS Quality Rating
Complete NPI Dataset
This page contains the complete raw NPPES record for Abigail Christine Souza, FNP-C (NPI 1003499013), an individual nurse practitioner provider in Las Vegas, NV. All 32 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1003499013 Field 1/32
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/32
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: SOUZA Field 3/32
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: ABIGAIL Field 4/32
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: CHRISTINE Field 5/32
- The middle name of the provider, if the provider is an individual.
- Provider Credential Text: FNP-C Field 6/32
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider Other Last Name: MCCARDELL Field 7/32
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: ABIGAIL Field 8/32
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
- Provider Other Middle Name: CHRISTINE Field 9/32
- Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider middle name" if the provider is or has been known by a different last name only.
- Provider Other Last Name Type Code: 1 Field 10/32
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 81345 Field 11/32
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: LAS VEGAS Field 12/32
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NV Field 13/32
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 891801345 Field 14/32
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 15/32
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7023845101 Field 16/32
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 7201 W LAKE MEAD BLVD STE 112 Field 17/32
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: LAS VEGAS Field 18/32
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NV Field 19/32
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 891288362 Field 20/32
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 21/32
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7027035160 Field 22/32
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7029465052 Field 23/32
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 26/32
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363LF0000X Field 27/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 830142 Field 28/32
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: NV Field 29/32
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 30/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 31/32
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 18
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
3423 Merlin Dr
Location 1/18Idaho Falls, ID 83404-7430 · Phone (208) 217-9099 · Fax (208) 619-3752
1750 W McMillan Rd Ste 120
Location 2/18Meridian, ID 83646-6891 · Phone (208) 900-4480 · Fax (208) 493-3409
16201 E Indiana Ave Ste 3100
Location 3/18Spokane Valley, WA 99216-2844 · Phone (509) 418-9880
1411 Falls Ave E Ste 1151A
Location 4/18Twin Falls, ID 83301-3455 · Phone (208) 543-7995 · Fax (208) 487-7679
5975 W Overland Rd
Location 5/18Boise, ID 83709-3012 · Phone (208) 488-4998 · Fax (208) 545-3214
948 NE 102nd Ave Ste 103
Location 6/18Portland, OR 97220-4064 · Phone (503) 825-8820 · Fax (503) 212-6407
1818 S Union Ave Ste 2B
Location 7/18Tacoma, WA 98405-1953 · Phone (253) 393-2700
12515 Willows Rd NE Ste 500
Location 8/18Kirkland, WA 98034-8762 · Phone (425) 468-6935
4200 Lake Otis Pkwy Ste 301
Location 9/18Anchorage, AK 99508-5226 · Phone (907) 318-9300 · Fax (907) 416-6961
360 Lilly Rd NE Ste B
Location 10/18Olympia, WA 98506-5430 · Phone (360) 436-6800
5875 S Rainbow Blvd Ste 203
Location 11/18Las Vegas, NV 89118-2556 · Phone (702) 820-5830
8308 E Mill Plain Blvd Ste 102
Location 12/18Vancouver, WA 98664-2066 · Phone (360) 639-8720
920 Country Club Rd Ste 230B
Location 13/18Eugene, OR 97401-6084 · Phone (541) 434-4401 · Fax (541) 508-4211
105 S 1st St Ste 100
Location 14/18Yakima, WA 98901-2826 · Phone (509) 508-4808
1865 Plumas St Ste 4
Location 15/18Reno, NV 89509-3386 · Phone (775) 218-9020 · Fax (177) 520-1169
2000 Wellness Way
Location 16/18Las Vegas, NV 89106-4113 · Phone (702) 384-5101 · Fax (702) 382-5675
916 W Ironwood Dr Ste Ul1
Location 17/18Coeur D Alene, ID 83814-2642 · Phone (208) 577-5380 · Fax (208) 902-9821
11118 Moss Ln
Location 18/18Nampa, ID 83651-8015 · Phone (208) 563-5910 · Fax (208) 498-2631
No registry entries match your active lookup criteria.
