Active NPI
Raelin Bright Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Henderson, NV
National Provider Identifier
1154920577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RAELIN BRIGHT WELLNESS, LLC
- Practice address
- 2850 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4395 - Phone
- (725) 234-2215
- NPI assigned
- Oct 19, 2020
- 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
- Dominique Sanders, NP
- Title
- Owner
- Phone
- (725) 234-2215
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2850 W Horizon Ridge Pkwy Ste 200
Henderson, NV 89052-4395
Mailing address
24609 University Ave Apt B
Loma Linda, CA 92354-2784
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Rancho Cucamonga, CA
- NPI 1659785020
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1154920577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24609 UNIVERSITY AVE APT B",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 W HORIZON RIDGE PKWY STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524395",
"telephone_number": "725-234-2215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAELIN BRIGHT WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "725-234-2215",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"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 Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.