Individual provider Active NPI

Andrietta Wright Barnett, DNP FNP-C PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1043648140
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
822183 Issued in NV
Practice address
2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397
Phone
(203) 666-8145
NPI assigned
Oct 29, 2013
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18546 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277004059 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11009383 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 822183 NV Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18546 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2330590 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0038948 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN727224 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61264739 WA

Addresses

Primary practice location

2300 W Sahara Ave Ste 800
Las Vegas, NV 89102-4397

Mailing address

1024 Cane Branch Rd
Walterboro, SC 29488-0802
Phone (843) 670-1434

Other practice location 1

90 Pynes Community Rd
Green Pond, SC 29446-8812
Phone (843) 844-7391

Other practice location 2

10 Pope Ave
Hilton Head Island, SC 29928-4719
Phone (866) 389-2727

Other practice location 3

301 N Main St
Summerville, SC 29483-6417
Phone (986) 638-9272

Other practice location 4

161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

Other practice location 5

1024 Cane Branch Rd
Walterboro, SC 29488-0802
Phone (843) 670-1434

Other practice location 6

4000 Faber Place Dr Ste 110
North Charleston, SC 29405-8585
Phone (843) 501-1099

Other practice location 7

1006 Fording Island Rd
Bluffton, SC 29910-4869
Phone (866) 389-2727

Other practice location 8

1100 E Northampton St
Laurel Run, PA 18706-9520
Phone (570) 823-1171

Other practice location 9

100 N Buckstown Rd Ste E100
Langhorne, PA 19047-1815
Phone (215) 249-6226

Other practice location 10

1483 Tobias Gadson Boulevard
Suite 107
Charleston, SC 29407-4795
Phone (843) 745-5153

Other identifiers 2

IdentifierTypeStateIssuer
1043648140MedicaidGA
NP2692MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, GA, MA, AL, FL, KY, TN, WA, CA, AZ, WV, PA, NV, IL, NY, MN, WI, KS, IA, NJ, ID, CT, OH, TX, NM, SD28 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 28

Enrollment IDStateProvider typePAC IDDetails
I20140331000976 SC Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 4 organizations
I20200314000134 NC Practitioner - Psychiatry 4385875673 Reassigns benefits to 2 organizations
I20200325002265 NC Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 5 organizations
I20200828001325 GA Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 8 organizations
I20220325000059 MA Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 6 organizations
I20220406001651 AL Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 6 organizations
I20220408000772 FL Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 10 organizations
I20220411000738 KY Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 5 organizations
I20220524000151 TN Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 5 organizations
I20230223002107 WA Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 7 organizations
I20230314001816 CA Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 6 organizations
I20230314002639 AZ Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 4 organizations
I20240105000252 WV Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 3 organizations
I20240306000441 PA Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 3 organizations
I20240401001871 NV Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 4 organizations
I20240506000306 IL Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 7 organizations
I20241007002079 NY Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 3 organizations
I20241015002290 MN Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 2 organizations
I20241206002538 WI Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 3 organizations
I20241211002100 KS Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 5 organizations
I20250115003042 IA Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 3 organizations
I20250319000019 NJ Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 4 organizations
I20250604004469 ID Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 2 organizations
I20251112003260 CT Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 3 organizations
I20251119003727 OH Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 7 organizations
I20260220001529 TX Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 2 organizations
I20260317000144 NM Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 2 organizations
I20260430002710 SD Practitioner - Nurse Practitioner 4385875673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians
Chess Medical PCGroup PAC ID 5496126914, 12 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Practice addresses (Care Compare)

100 Cambridge St
FL 14
Boston, MA 02114-2509
Phone (203) 666-8145

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (203) 666-8145

1130 Westchester Pike
Aventura at Pembrooke
West Chester, PA 19380-5005
Phone (203) 666-8145

115 Dutch Lane Rd
Freehold, NJ 07728-5500
Phone (203) 666-8145

1150 W Dorothy LN
Kettering, OH 45409-1305
Phone (212) 734-6621

1400 112TH Ave SE
Bellevue, WA 98004-6901
Phone (203) 666-8145

1433 N Water St
Suite 400
Milwaukee, WI 53202-2603
Phone (203) 666-8145

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

2 N Central Ave
Suite 1800
Phoenix, AZ 85004-2139
Phone (203) 666-8145

200 Whiteman Ave
Elkins, WV 26241-3400
Phone (203) 666-8145

21 E State St
Suite 200
Columbus, OH 43215-0109
Phone (203) 666-8145

2300 W Sahara Ave
Suite 800
Las Vegas, NV 89102-4397
Phone (203) 666-8145

2355 Hwy 36 W
Suite 400
Roseville, MN 55113-3905
Phone (203) 666-8145

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone (212) 734-6621

2642 Corte Vida
Pleasanton, CA 94566-5856
Phone (203) 666-8145

3200 W End Ave
Suite 500
Nashville, TN 37203-1322
Phone (203) 666-8145

3455 Peachtree Rd N E
5TH Floor
Atlanta, GA 33026-3254
Phone (203) 666-8145

350 W Schaumburg Rd
Suite 2
Schaumburg, IL 60194-3400
Phone (212) 734-6621

3597 E Monarch Sky LN
Suite 240
Meridian, ID 83646-1055
Phone (203) 666-8145

555 S Mangum St
Suite 100
Durham, NC 27701-4689
Phone (203) 666-8145

6165 NW 86TH St
Johnston, IA 50131-2270
Phone (203) 666-8145

633 NE 167TH St
Suite 301N
Miami, FL 33162-2441
Phone (212) 734-6621

7300 W 110TH St
Overland Park, KS 66210-2332
Phone (203) 666-8145

875 N Michigan Ave
31St Floor
Chicago, IL 60611-1803
Phone (203) 666-8145

900 Trail Ridge Rd
FL 1
Aiken, SC 29803-7765
Phone (203) 666-8145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18546NCMDMental Health Counselor
18546SCMDPediatrics Physician
RN2330590MAMDPsychiatric/Mental Health Nurse Practitioner
822183NVMDPsychiatric/Mental Health Nurse Practitioner
AP61264739WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (60 of 61)

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Family CurrentSince Aug 30, 2025 Accepting new patients
Community Health Programs, Inc. Current Accepting new patients
Affect Therapeutics, Inc. Psychiatric/Mental Health CurrentSince Dec 14, 2025 Accepting new patients
Affect Therapeutics Inc Psychiatric/Mental Health CurrentSince Jun 26, 2025 Accepting new patients
Dr Rebman BH LLC CurrentSince Dec 7, 2025 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Psychplus Medical Associates of California PC Family CurrentSince Oct 31, 2025 Accepting new patients
Sandhills Intergrated Care, Inc. CurrentSince May 16, 2022 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Chess Medical, P.C. CurrentSince Jan 1, 2023 Accepting new patients
Topaz Bay Senior Health PC CurrentSince Aug 18, 2025 Accepting new patients
Florida Community Health Centers Inc CurrentSince Apr 11, 2023 Accepting new patients
Holistic Healthcare LLC Family CurrentSince Aug 28, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 1, 2023 Accepting new patients
Empowering Healthcare Services Psychiatric/Mental Health CurrentSince Feb 1, 2023 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Oct 3, 2025 Accepting new patients
Chatuge Regional Hospital Inc CurrentSince Jul 1, 2020 Accepting new patients
Florida Community Health Centers, Inc. CurrentSince Apr 11, 2023 Accepting new patients
Meridian Counseling CurrentSince May 1, 2024 Accepting new patients
Empowerment Quality Care Services, LLC CurrentSince May 12, 2021 Accepting new patients
Community Health Programs CurrentSince May 1, 2022 Accepting new patients
Psychplus Associates of California PC CurrentSince Oct 31, 2025 Accepting new patients
Affect Therapeutics, Inc. CurrentSince Jun 27, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Family CurrentSince Sep 20, 2025 Accepting new patients
Daymark Recovery Services, Inc. CurrentSince Jul 19, 2021 Accepting new patients
NCG Acquisition, LLC CurrentSince Dec 13, 2022 Accepting new patients
American Behavioral Health Systems, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Lowcountry Wellness Center LLC CurrentSince Aug 3, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 1, 2023 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Feb 28, 2023 Accepting new patients
Dr Rebman Medical PA CurrentSince Dec 13, 2025 Accepting new patients
Chess Medicine PLLC CurrentSince Aug 2, 2024 Accepting new patients
Ivy Medical Group PLLC CurrentSince Jul 21, 2025 Accepting new patients
Psychplus Medical Associates of New Jersey, PLLC Psychiatric/Mental Health CurrentSince Nov 6, 2025 Accepting new patients
Florida Community Health Centers Inc CurrentSince Apr 11, 2023 Accepting new patients
Lumina Care Medical NJ LLC CurrentSince Dec 29, 2025 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Community Health Programs, Inc. CurrentSince May 1, 2022 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Affect Provider Group P.S.C. Psychiatric/Mental Health CurrentSince Feb 10, 2026 Accepting new patients
Chatuge Regional Hospital Inc CurrentSince Jul 1, 2020 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Dec 8, 2022 Accepting new patients
Grace Family Services Inc PastSince Jul 28, 2024 Accepting new patients
Lifeline Professional Counseling Services, Inc Psychiatric/Mental Health Past Accepting new patients
Capeside Addiction Care, PLLC PastSince Jan 1, 2020 Accepting new patients
Canyonlands Community Health Care Past Accepting new patients
Canyonlands Community Health Care Past Accepting new patients
Lifeline Professional Counseling Services, Inc Past Accepting new patients
Lifeline Professional Counseling Services, Inc Past Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients
Lifeline Professional Counseling Services, Inc Past Accepting new patients
Transitions Counseling and Consulting Psychiatric/Mental Health Past Accepting new patients
Susan K Kauffman LMHC PLLC Psychiatric/Mental Health PastSince May 31, 2022 Accepting new patients
Teresa L Cope PLLC Psychiatric/Mental Health Past Accepting new patients
Canyonlands Community Health Care Past Accepting new patients
Lifeline Professional Counseling Services, Inc Past Accepting new patients
Psychplus Medical Associates of Michigan, PLLC Family Past Accepting new patients
Bend Health Psychiatric Services New England PA Past Accepting new patients

Locations (25 of 125)

1028 Bessemer Rd
Birmingham, AL 35228
Phone (205) 923-1477

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

307 S McKenzie St
Ste 109
Foley, AL 36535

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

212 Willie Ray Dr
Cabot, AR 72023
Phone (501) 333-9110

4100 S Lindsay Rd
Ste 129
Gilbert, AZ 85297
Phone (718) 216-7002

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

13060 W Bell Rd
Surprise, AZ 85378
Phone (623) 499-9100

8880 E Speedway Blvd
Ste 203
Tucson, AZ 85710
Phone (323) 601-0900

3095 Telegraph Ave
Berkeley, CA 94705
Phone (510) 495-0772

2677 Zoe Ave
Ste 120
Huntington Pk, CA 90255
Phone (323) 589-1902

2151 Michelson Dr
Ste 225
Irvine, CA 92612
Phone (949) 298-3200

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

11835 W Olympic Blvd
Ste 815E
Los Angeles, CA 90064
Phone (323) 332-9905

12100 Wilshire Blvd
Fl 8
Los Angeles, CA 90025
Phone (317) 658-5000

600 Wilshire Blvd
Ste 980
Los Angeles, CA 90017
Phone (888) 600-9540

1610 R St
Ste 300
Sacramento, CA 95811
Phone (678) 974-2162

3550 Watt Ave
Ste 140
Sacramento, CA 95821
Phone (916) 804-4471

915 Ella T Grasso Blvd
New Haven, CT 06519
Phone (203) 349-9400

99 Hawley Ln
Ste 1102
Stratford, CT 06614

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

Interoperability endpoints

  • Direct secure messaging: andrietta.barnett@521794035712004.direct.elationemr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 72

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 72

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1043648140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CANE BRANCH RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880802",
            "telephone_number": "843-670-1434",
            "fax_number": "843-538-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W SAHARA AVE STE 800",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024397",
            "telephone_number": "203-666-8145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Pynes Community Rd",
            "address_purpose": "LOCATION",
            "city": "Green Pond",
            "state": "SC",
            "postal_code": "294468812",
            "country_code": "US",
            "telephone_number": "843-844-7391",
            "fax_number": "843-844-7391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Pope Ave",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299284719",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Main St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294836417",
            "country_code": "US",
            "telephone_number": "986-638-9272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018522103",
            "country_code": "US",
            "telephone_number": "978-937-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 Cane Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294880802",
            "country_code": "US",
            "telephone_number": "843-670-1434",
            "fax_number": "843-538-2837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Faber Place Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294058585",
            "country_code": "US",
            "telephone_number": "843-501-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1006 Fording Island Rd",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104869",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Northampton St",
            "address_purpose": "LOCATION",
            "city": "Laurel Run",
            "state": "PA",
            "postal_code": "187069520",
            "country_code": "US",
            "telephone_number": "570-823-1171",
            "fax_number": "954-781-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Buckstown Rd Ste E100",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471815",
            "country_code": "US",
            "telephone_number": "215-249-6226",
            "fax_number": "954-781-7173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1483 Tobias Gadson Boulevard",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074795",
            "country_code": "US",
            "telephone_number": "843-745-5153",
            "fax_number": "843-766-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "ANDRIETTA",
        "middle_name": "WRIGHT",
        "credential": "DNP FNP-C PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18546",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277004059",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11009383",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "822183",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "18546",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2330590",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0038948",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN727224",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61264739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043648140",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2692",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.