Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tawny Nicole Casallo

Individual provider Family Nurse Practitioner · NPI 1710851894

Tawny Nicole Casallo is a Nurse Practitioner in Henderson, Nevada. Qualified in 2025, 1 year ago. Practices with Jeffrey Ross Gunter MD Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
1
Licensed in
NV
In the registry since
2025
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Practice location Address checks out

874 American Pacific Dr
Henderson, NV 89014-8800
Phone: (702) 777-8687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 895795 (NV)

Record details

NPI number1710851894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 1, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Jeffrey Ross Gunter Md Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Henderson