Surgiblue LLC

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SURGIBLUE LLC

Practice address

2529 Charleville Ave Unit 103
Las Vegas, NV 89106-1525

Phone

(140) 876-1584

NPI assigned

Apr 9, 2026

Organization subpart

No

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

Authorized official

Name

Barbara Lee Roth, REGISTERED NURSE

Title

President

Phone

(408) 761-5847

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1144163718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 CHARLEVILLE AVE UNIT 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061525",
            "telephone_number": "140-876-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 CHARLEVILLE AVE UNIT 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061525",
            "telephone_number": "140-876-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGIBLUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-761-5847",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Local Education Agency (LEA) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.