Organization Active NPI

Wellness Rejuvenation Center

  • Pain Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1144728403
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
WELLNESS REJUVENATION CENTER
Practice address
311 N Buffalo Dr Ste a
Las Vegas, NV 89145-0375
Phone
(702) 476-9700
Fax
(702) 476-9138
NPI assigned
Jan 31, 2018
Organization subpart
Yes
Parent organization
CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Tashi Campbell, RN
Title
Admin
Phone
(702) 476-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

311 N Buffalo Dr Ste a
Las Vegas, NV 89145-0375

Mailing address

311 N Buffalo Dr Ste a
Las Vegas, NV 89145-0375
Phone (702) 476-9700

Other practice location 1

1681 W Horizon Ridge Pkwy
Henderson, NV 89012-3494
Phone (702) 476-9700

National Provider Directory

National Provider Directory
Part of
Center for Wellness and Pain Care of Las Vegas Inc

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGBCDD

Practitioners & affiliated clinicians

Practitioners 1

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": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144728403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N BUFFALO DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450375",
            "telephone_number": "702-476-9700",
            "fax_number": "702-476-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N BUFFALO DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450375",
            "telephone_number": "702-476-9700",
            "fax_number": "702-476-9138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1681 W Horizon Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890123494",
            "country_code": "US",
            "telephone_number": "702-476-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS REJUVENATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TASHI",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "702-476-9700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "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 Mar 17, 2018; 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.