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BETTY OMANDAC
NPI 1235664020
Nurse Practitioner - Gerontology in Las Vegas, NV

Active since April 28, 2017
2410 FIRE MESA ST, SUITE 160, LAS VEGAS, NV 89128(702) 518-1534 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2017, Apr 28, 2017 (2 updates tracked since 2017).

About Betty Omandac NPPES

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

BETTY OMANDAC (NPI 1235664020) is an individual gerontology provider in Las Vegas, Nevada, licensed in Nevada (APRN 002508) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1235664020
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameBETTY OMANDAC
Location Address2410 FIRE MESA ST, SUITE 160Las Vegas, NV 89128-9016
Mailing Address2440 Professional Ct, Ste 110Las Vegas, NV 89128-0839 · (702) 518-1534
Phone(702) 518-1534
Sole ProprietorNo
Enumeration DateApril 28, 2017
Last NPPES UpdateNovember 15, 20172 updates tracked since enumeration
✔ NPI 1235664020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NV · APRN 002508
2410 FIRE MESA ST, Las Vegas, NV 89128
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS A SUITER A.P.N.
Nurse Practitioner (Family)
2410 FIRE MESA ST, #180, FAMILY PRACTICE CENTER
LAS VEGAS, NV 89128
Clark County (702) 992-6888
DR. MANUEL B GABATO MD
Internal Medicine
2410 FIRE MESA ST, 2410 FIRE MESA
LAS VEGAS, NV 89128
Clark County (702) 636-6320
EILEEN VIRGINIA REDMOND LCSW
Social Worker (Clinical)
2410 FIRE MESA ST
LAS VEGAS, NV 89128
Clark County (702) 636-3000
UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO.
Family Medicine
2410 FIRE MESA ST, STE 180
LAS VEGAS, NV 89128
Clark County (702) 992-6888
ANTHONY V BORGIA DPM PLLC
Podiatrist (Foot & Ankle Surgery)
2410 FIRE MESA ST, STE 160
LAS VEGAS, NV 89128
Clark County (702) 947-2005
DR. EVELYN PADRE PADRE MD
Family Medicine
2410 FIRE MESA ST
LAS VEGAS, NV 89128
Clark County (702) 636-6320
PORSCHE LASHAI PACE RD
Dietitian, Registered
2410 FIRE MESA ST, SUITE 130
LAS VEGAS, NV 89128
Clark County (702) 636-3000
DR. PATRICK MICAL BLACK PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2410 FIRE MESA ST
LAS VEGAS, NV 89128
Clark County (702) 636-6320

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 Betty Omandac's NPI number?

The NPI number for Betty Omandac is 1235664020. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Betty Omandac located?

Betty Omandac practices at 2410 Fire Mesa St Suite 160, Las Vegas, NV 89128. The listed phone number is (702) 518-1534.

What is Betty Omandac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Betty Omandac was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.