THERESA B. STALL ARNP
NPI 1669500120
Nurse Practitioner in Las Vegas, NV

Active since February 28, 2007
7050 SMOKE RANCH RD, STE 130, LAS VEGAS, NV 89128(702) 233-9911(702) 243-5568 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa B. Stall Arnp NPPES

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

THERESA B. STALL ARNP (NPI 1669500120) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (APN001380) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1669500120
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA B. STALLCredential: ARNP
Location Address7050 SMOKE RANCH RD, STE 130Las Vegas, NV 89128-8609
Mailing Address7050 Smoke Ranch Rd, Ste 130Las Vegas, NV 89128-8609 · (702) 233-9911 · Fax (702) 243-5568
Fax(702) 243-5568
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateMay 31, 2012
NPI 1669500120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NV · APN001380
Definition
(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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1007373 (DC), AP30007643 (WA)
7050 SMOKE RANCH RD, Las Vegas, NV 89128

Other Names 1

Former Name (1)Theresa M. Bautista Arnp

Other Identifiers 5

Other03851UWA · Regence Blue Shield
Medicaid9652496WA
Medicare PIN8865749WA
Medicare PIN161687YT2DC
Other0219957WA · L&i

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
7050 SMOKE RANCH RD, STE 130
LAS VEGAS, NV 89128
Pain Medicine (Interventional Pain Medicine)
7050 SMOKE RANCH RD, SUITE 130
LAS VEGAS, NV 89128

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 Theresa Stall's NPI number?

The NPI number for Theresa Stall is 1669500120. It was assigned to this individual provider in the NPPES registry on February 28, 2007. The provider is also known as Theresa M. Bautista Arnp.

Where is Theresa Stall located?

Theresa Stall practices at 7050 Smoke Ranch Rd Ste 130, Las Vegas, NV 89128. The listed phone number is (702) 233-9911.

What is Theresa Stall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Theresa Stall was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.