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DIRECT HEALTHCARE OF NEVADA PC
NPI 1689242190
Nurse Practitioner - Gerontology in Las Vegas, NV

Active since June 12, 2021
5353 S JONES BLVD, LAS VEGAS, NV 89118(702) 846-5978(702) 846-0305 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2021, Jun 12, 2021 (2 updates tracked since 2021).

About Direct Healthcare Of Nevada Pc NPPES

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

DIRECT HEALTHCARE OF NEVADA PC (NPI 1689242190) is a healthcare organization registered as a gerontology in Las Vegas, Nevada and active in the NPI registry since June 2021. The organization lists Rilwan Olalekan Shoyombo, President/provider, as its authorized official.

NPPES Registry Identity

NPI1689242190
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameDIRECT HEALTHCARE OF NEVADA PC
Location Address5353 S JONES BLVDLas Vegas, NV 89118-0537
Mailing Address5353 S Jones Blvd Apt 1016Las Vegas, NV 89118-0539 · (702) 846-5978 · Fax (702) 846-0305
Phone(702) 846-5978
Fax(702) 846-0305
Organization SubpartNo
Authorized OfficialRilwan Olalekan ShoyomboPresident/provider · (702) 846-5978
Enumeration DateJune 12, 2021
Last NPPES UpdateJuly 24, 20212 updates tracked since enumeration
NPPES CertifiedJuly 24, 2021
✔ NPI 1689242190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
5353 S JONES BLVD, Las Vegas, NV 89118
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

CHARLOTTE JANET LUJAN
Rehabilitation Practitioner
5353 S JONES BLVD, #1011
LAS VEGAS, NV 89118
Clark County (702) 588-0917
MIKAYLA NICHOLE GUBERMAN
Technician (Personal Care Attendant)
5353 S JONES BLVD
LAS VEGAS, NV 89118
Clark County (702) 503-4478
RILWAN OLALEKAN SHOYOMBO APRN
Nurse Practitioner (Gerontology)
5353 S JONES BLVD
LAS VEGAS, NV 89118
Clark County (702) 846-5978

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 Direct Healthcare Of Nevada PC's NPI number?

The NPI number for Direct Healthcare Of Nevada PC is 1689242190. It was assigned to this organization in the NPPES registry on June 12, 2021.

Where is Direct Healthcare Of Nevada PC located?

Direct Healthcare Of Nevada PC is located at 5353 S Jones Blvd, Las Vegas, NV 89118. The listed phone number is (702) 846-5978.

What is Direct Healthcare Of Nevada PC'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 Direct Healthcare Of Nevada PC was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.