What is Rustin Park's NPI number?

Rustin Park's National Provider Identifier (NPI) is 1003112814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Rustin Park's specialty?

Rustin Park is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse (Nursing Service Providers).

Where is Rustin Park located?

Rustin Park's practice location on file with NPPES is 4000 E Charleston Blvd, Las Vegas, NV 89104-6659.

What is Rustin Park's phone number?

The practice phone number listed in the NPPES registry for Rustin Park is (702) 968-4020.

Is Rustin Park's NPI active?

Yes — Rustin Park's NPI (1003112814) is active in the NPPES registry as of the last update on 2011-01-27.

IndividualActive

Rustin Park, RN, BSN

NPI 1003112814 · Psychiatric/Mental Health Registered Nurse · Las Vegas, NV

Rustin Park, RN, BSN is a Psychiatric/Mental Health Registered Nurse provider in Las Vegas, NV (NPI 1003112814).

Provider details

NPI number: 1003112814
Entity type: Individual
Primary specialty: Psychiatric/Mental Health Registered NurseNursing Service Providers
Credential: RN, BSN
Sex: Male
Sole proprietor: No
License: RN65754 (NV)

Practice location

4000 E Charleston Blvd

Suite 130

Las Vegas, NV 89104-6659

Phone: (702) 968-4020

Fax: (702) 968-4040

Street-level locationGet directions

More NV providers

Mailing address

4000 E Charleston Blvd

Las Vegas, NV 89104-6659

Specialties & taxonomies

Psychiatric/Mental Health Registered NursePrimary163WP0808XLicense RN65754 (NV)
Nursing Service Providers

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2011-01-27
Last updated: 2011-01-27

Frequently asked questions

What is Rustin Park's NPI number?: Rustin Park's National Provider Identifier (NPI) is 1003112814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Rustin Park's specialty?: Rustin Park is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse (Nursing Service Providers).
Where is Rustin Park located?: Rustin Park's practice location on file with NPPES is 4000 E Charleston Blvd, Las Vegas, NV 89104-6659.
What is Rustin Park's phone number?: The practice phone number listed in the NPPES registry for Rustin Park is (702) 968-4020.
Is Rustin Park's NPI active?: Yes — Rustin Park's NPI (1003112814) is active in the NPPES registry as of the last update on 2011-01-27.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions