Tatyanna Brown, QMHA
Individual provider Active NPI Specialist · Las Vegas, NV
NPI 1083365829 · NPPES record last updated Jul 3, 2026
Key facts
- NPI
- 1083365829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 4150 S Hualapai Way
Las Vegas, NV 89147-8596 - Phone
- (313) 367-9438
- NPI assigned
- Jan 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NV | Yes |
Addresses
Primary practice location
4150 S Hualapai Way
Las Vegas, NV 89147-8596
Mailing address
4150 S Hualapai Way
Las Vegas, NV 89147-8596
Phone (313) 367-9438
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.