NPIMap

Organization Active NPI

Heal and Glow Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104528686
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEAL AND GLOW WELLNESS LLC
Practice address
2121 E Flamingo Rd Ste 202
Las Vegas, NV 89119-5124
Phone
(712) 790-0235
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Sandra Ramsey, APRNNPI 1588189021
Title
Provider
Phone
(702) 362-0210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2121 E Flamingo Rd Ste 202
Las Vegas, NV 89119-5124

Mailing address

2121 E Flamingo Rd Ste 202
Las Vegas, NV 89119-5124
Phone (712) 790-0235

Other names 1

  • SANDRA RAMSEY SOLE MBR Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240614003595 CA Part B Supplier - Clinic/Group Practice 5991248247 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA
O20241105003360 NV Part B Supplier - Clinic/Group Practice 5991248247 Receives reassigned benefits from 9 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1253 University Ave
Ste 1004
San Diego, CA 92103
Phone (702) 405-9819

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1104528686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195124",
            "telephone_number": "712-790-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195124",
            "telephone_number": "712-790-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL AND GLOW WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-362-0210",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANDRA RAMSEY SOLE MBR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.