SHADI USEFI-MORIDANI APN
NPI 1104920206
Nurse Practitioner - Pediatrics in No. Las Vegas, NV

Q: What is Shadi Usefi-moridani's NPI number?

The NPI number for Shadi Usefi-moridani is 1104920206. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Q: What is Shadi Usefi-moridani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since September 11, 2006

1905 CIVIC CENTER DR., NO. LAS VEGAS, NV 89030(702) 649-3736(702) 312-3510 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shadi Usefi-moridani Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADI USEFI-MORIDANI APN (NPI 1104920206) is an individual pediatrics provider in No. Las Vegas, Nevada, licensed in Nevada (APN000973) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104920206

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSHADI USEFI-MORIDANICredential: APN

Location Address1905 CIVIC CENTER DR.No. Las Vegas, NV 89030

Mailing Address5701 W. Charleston Blvd., Suite 100Las Vegas, NV 89146 · (702) 877-9514 · Fax (702) 312-3510

Phone(702) 649-3736

Fax(702) 312-3510

Sole ProprietorNo

Enumeration DateSeptember 11, 2006

Last NPPES UpdateMay 11, 2022

NPPES CertifiedMay 11, 2022

✔ NPI 1104920206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NV · APN000973

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN55045 (NV), APN000973 (NV)

1905 CIVIC CENTER DR., No. Las Vegas, NV 89030

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Other Identifiers 1

Medicaid1104920206NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadi Usefi-moridani's NPI number?

The NPI number for Shadi Usefi-moridani is 1104920206. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Shadi Usefi-moridani located?

Shadi Usefi-moridani practices at 1905 Civic Center Dr., No. Las Vegas, NV 89030. The listed phone number is (702) 649-3736.

What is Shadi Usefi-moridani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Shadi Usefi-moridani accept?

Health plans from Ambetter from Arizona Complete Health list Shadi Usefi-moridani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadi Usefi-moridani was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.