Active NPI
Nakeia Funches
- In Home Supportive Care Agency
- Las Vegas, NV
National Provider Identifier
1104243112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 3305 Spring Mountain Rd Ste 107
Las Vegas, NV 89102-8628 - Phone
- (702) 487-5480
- NPI assigned
- Mar 27, 2014
- Reactivated
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Health Service Psychologist | 103TH0100X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
3305 Spring Mountain Rd Ste 107
Las Vegas, NV 89102-8628
Mailing address
3305 Spring Mountain Rd Ste 107
Las Vegas, NV 89102-8628
Phone (702) 487-5480
Other practice location 1
2801 N Rainbow Blvd Apt 170
Las Vegas, NV 89108-4582
Phone (702) 830-1161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C & N Mental Health LLC | Current | Accepting new patients | |
| C & N Mental Health Az | Past | Accepting new patients |
Locations
3305 Spring Mountain Rd
Ste 107
Las Vegas, NV 89102
Phone (702) 487-5480
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Las Vegas, NV
- NPI 1326799966
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1871226670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1104243112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3305 SPRING MOUNTAIN RD STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891028628",
"telephone_number": "702-487-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 SPRING MOUNTAIN RD STE 107",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891028628",
"telephone_number": "702-487-5480"
}
],
"practiceLocations": [
{
"address_1": "2801 N Rainbow Blvd Apt 170",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891084582",
"country_code": "US",
"telephone_number": "702-830-1161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUNCHES",
"first_name": "NAKEIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"deactivation_date": "2024-11-08",
"reactivation_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.