Organization Active NPI

Thirty-One Wholistic Healthcare

  • Health Service Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1144990185
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
THIRTY-ONE WHOLISTIC HEALTHCARE
Practice address
1180 North Town Center Drive
Suite 100
Las Vegas, NV 89144
Phone
(702) 580-3370
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Ms. Janiece Rivers, MHA, MSN, APRN, FNPNPI 1861077398
Title
Owner/Ceo
Phone
(702) 580-3370

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1180 North Town Center Drive
Suite 100
Las Vegas, NV 89144

Mailing address

9667 Ponderosa Skye CT
Las Vegas, NV 89166-3807
Phone (702) 580-3370

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL janiece31@31wholistic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250305001237 NV Part B Supplier - Clinic/Group Practice 5698296754 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

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": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1144990185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9667 PONDEROSA SKYE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891663807",
            "telephone_number": "702-580-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 NORTH TOWN CENTER DRIVE",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89144",
            "telephone_number": "702-580-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRTY-ONE WHOLISTIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "JANIECE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "702-580-3370",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA, MSN, APRN, FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "janiece31@31wholistic.com",
            "affiliation": "N",
            "address_1": "304 S Jones Blvd Ste 8064",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891072623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.