Organization Active NPI

Desert Pmhnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1144063629
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DESERT PMHNP, LLC
Practice address
35 E Horizon Ridge Pkwy Ste 110-403
Henderson, NV 89002-7905
Phone
(702) 553-4105
NPI assigned
Jun 13, 2024
Last updated
Dec 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Nicole L Entenza, NPNPI 1477819860
Title
Owner/Provider
Phone
(702) 553-4105

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

35 E Horizon Ridge Pkwy Ste 110-403
Henderson, NV 89002-7905

Mailing address

35 E Horizon Ridge Pkwy Ste 110-403
Henderson, NV 89002-7905
Phone (702) 553-4105

National Provider Directory

National Provider Directory

Locations

35 E Horizon Ridge Pkwy
Ste 110403
Henderson, NV 89002
Phone (702) 553-4105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1144063629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E HORIZON RIDGE PKWY STE 110-403",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027905",
            "telephone_number": "702-553-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E HORIZON RIDGE PKWY STE 110-403",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027905",
            "telephone_number": "702-553-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "ENTENZA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "702-553-4105",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.

Verify at the official NPI Registry.