MEDICARE: BERNADETTE PAYUMO ABREGUNDA PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP126948	TX
2	363LG0600X	Gerontology Nurse Practitioner	AP126948	TX
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP126948	TX
4	363LG0600X	Gerontology Nurse Practitioner	844939	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	412738ZSJC	OTHER	TX	MEDICARE
6	P01666642	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	844939	OTHER	NV	STATE LICENSE

General Provider Information

NPI Number	:	1861899841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNADETTE PAYUMO ABREGUNDA PMHNP

Provider Business Mailing Address
First Line	:	6355 S BUFFALO DR FL 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2133
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	5771 S FORT APACHE RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5626
Country	:	US
Telephone Number	:	702-951-3400
Fax Number	:	702-951-3403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2014
Last Update Date	:	06/24/2024

Similar Medicare Providers

1326079724 — MR. SANFORD F WHITE MD
Practice Location Address:

5771 S FORT APACHE RD , SUITE 100
LAS VEGAS, NV
89148-5626

Practice Phone: 702-951-3400
Practice Fax: 702-951-3403

1821264482 — ENSIGN FAMILY MEDICINE
Practice Location Address:

5771 S FORT APACHE RD , SUITE #100
LAS VEGAS, NV
89148-5626

Practice Phone: 702-951-3400
Practice Fax: 702-951-3403

1659538247 — ENSIGN FAMILY MEDICINE LLC
Practice Location Address:

5771 S FORT APACHE RD , SUITE #100
LAS VEGAS, NV
89148-5626

Practice Phone: 702-951-3400
Practice Fax: 702-951-3403

1487957551 — CARLOS RAMON POLLARD
Practice Location Address:

5626 MAMMOTH MOUNTAIN ST
NORTH LAS VEGAS, NV
89081-2419

Practice Phone: 702-324-2126
Practice Fax:

1467725259 — MOMENTUM BEHAVIORAL SERVICES,LLC
Practice Location Address:

5626 MAMMOTH MOUNTAIN ST
NORTH LAS VEGAS, NV
89081-2419

Practice Phone: 702-324-2126
Practice Fax:

1427319094 — HEART OF A GIRL
Practice Location Address:

5626 W KATIE AVE
LAS VEGAS, NV
89103-2326

Practice Phone: 702-871-3500
Practice Fax:

Directions to “ BERNADETTE PAYUMO ABREGUNDA PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.