Organization Active NPI

Body & Mind Uplifment LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1154934131
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BODY & MIND UPLIFMENT LLC
Practice address
2215 Renaissance Dr Ste a
Las Vegas, NV 89119-6723
Phone
(702) 488-4918
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Rosalita Jurani, MD
Title
Owner/Provider
Phone
(702) 340-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2215 Renaissance Dr Ste a
Las Vegas, NV 89119-6723

Mailing address

2215 Renaissance Dr Ste a
Las Vegas, NV 89119-6723
Phone (702) 340-9350

Other practice location 1

2215 Renaissance Dr Ste A2215
Las Vegas, NV 89119-6163
Phone (702) 340-9350

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 89141 Direct

National Provider Directory

National Provider Directory

Locations

2215 Renaissance Dr
Ste A2215
Las Vegas, NV 89119
Phone (702) 340-9350

2215 Renaissance Dr
Ste A
Las Vegas, NV 89119
Phone (702) 266-7277

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1154934131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 RENAISSANCE DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196723",
            "telephone_number": "702-340-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 RENAISSANCE DR STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196723",
            "telephone_number": "702-488-4918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Renaissance Dr Ste A2215",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196163",
            "country_code": "US",
            "telephone_number": "702-340-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODY & MIND UPLIFMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "JURANI",
        "authorized_official_first_name": "ROSALITA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "702-340-9350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "89141",
            "affiliation": "N",
            "endpointDescription": "Clark County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2215 Renaissance Dr Ste A",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891196723",
            "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 Aug 28, 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.

Verify at the official NPI Registry.