NPIMap

Organization Active NPI

Family First Medical LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1114114865
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10975 Issued in NV
Legal business name
FAMILY FIRST MEDICAL LLC
Practice address
1725 E Warm Springs Rd
Suite 12
Las Vegas, NV 89119-0420
Phone
(702) 260-0577
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Evarista Christiana Nnadi, M.D
Title
Ceo/Owner
Phone
(702) 260-0577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10975 NV Primary

Addresses

Primary practice location

1725 E Warm Springs Rd
Suite 12
Las Vegas, NV 89119-0420

Mailing address

1725 E Warm Springs Rd
Suite 12
Las Vegas, NV 89119-0420
Phone (702) 260-0577

National Provider Directory

National Provider Directory

Locations

1725 E Warm Springs Rd
Ste 12
Las Vegas, NV 89119
Phone (702) 260-0577

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1114114865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E WARM SPRINGS RD",
            "address_2": "SUITE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190420",
            "telephone_number": "702-260-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E WARM SPRINGS RD",
            "address_2": "SUITE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190420",
            "telephone_number": "702-260-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "NNADI",
        "authorized_official_first_name": "EVARISTA",
        "authorized_official_middle_name": "CHRISTIANA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "702-260-0577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10975",
            "primary": true
        }
    ],
    "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 Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.