Active NPI
Spectrum Squad LLC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1144134784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SPECTRUM SQUAD LLC
- Practice address
- 1670 E Flamingo Rd Ste a
Las Vegas, NV 89119-5120 - Phone
- (702) 600-4037
- Fax
- (702) 710-1105
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Quiana Blake
- Title
- Program Director
- Phone
- (702) 600-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary | |
| Pediatric Nurse Practitioner | 363LP0200X | NU |
Addresses
Primary practice location
1670 E Flamingo Rd Ste a
Las Vegas, NV 89119-5120
Mailing address
1670 E Flamingo Rd Ste a
Las Vegas, NV 89119-5120
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.
-
- Behavior Technician
- Las Vegas, NV
- NPI 1750225637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1144134784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 E FLAMINGO RD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195120",
"fax_number": "702-710-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 E FLAMINGO RD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195120",
"telephone_number": "702-600-4037",
"fax_number": "702-710-1105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM SQUAD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "QUIANA",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "702-600-0000"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NU",
"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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.