GLADYS CARBONILLA
NPI 1306419213
Nurse Practitioner - Family in Henderson, NV

Active since July 19, 2021
2641 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052(702) 360-0010 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2024, Jul 19, 2021 (2 updates tracked since 2021).

About Gladys Carbonilla NPPES

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

GLADYS CARBONILLA (NPI 1306419213) is an individual family provider in Henderson, Nevada, licensed in Nevada (878472) and active in the NPI registry since July 2021. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1306419213
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGLADYS CARBONILLA
Location Address2641 W HORIZON RIDGE PKWY STE 100Henderson, NV 89052-4836
Mailing Address1500 E Tropicana Ave Ste 161Las Vegas, NV 89119-6516 · (702) 462-2276
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 19, 2021
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1306419213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NV · 878472
Also ListedAdult CompanionTaxonomy 372600000X
2641 W HORIZON RIDGE PKWY STE 100, Henderson, NV 89052

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gladys Carbonilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507361698
PECOS Enrollment IDI20250929000975

Other Providers at the Same Location NPPES 9

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

Internal Medicine
2641 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Nurse Practitioner
2641 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Internal Medicine (Interventional Cardiology)
2641 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Internal Medicine
2641 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Internal Medicine (Cardiovascular Disease)
2641 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Internal Medicine (Interventional Cardiology)
2641 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
General Practice
2641 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052
Internal Medicine
2641 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV 89052

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 Gladys Carbonilla's NPI number?

The NPI number for Gladys Carbonilla is 1306419213. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Gladys Carbonilla located?

Gladys Carbonilla practices at 2641 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052. The listed phone number is (702) 360-0010.

What is Gladys Carbonilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gladys Carbonilla enrolled in Medicare?

Yes. Gladys Carbonilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gladys Carbonilla was last updated on November 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.