NPIMap

Organization Active NPI

Beautiful Minds Primary Care Clinic LLC

  • Primary Care Clinic/Center
  • North Las Vegas, NV
National Provider Identifier
1164024428
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BEAUTIFUL MINDS PRIMARY CARE CLINIC LLC
Practice address
3550 W Cheyenne Ave Ste 100-130
North Las Vegas, NV 89032-8212
Phone
(702) 331-1917
Fax
(702) 331-5219
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Lashandia Binion
Title
Owner
Phone
(702) 813-5413

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Medical Specialty Clinic/Center 261QM2500X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3550 W Cheyenne Ave Ste 100-130
North Las Vegas, NV 89032-8212

Mailing address

3550 W Cheyenne Ave Ste 100-130
North Las Vegas, NV 89032-8212
Phone (702) 331-1917

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL beautifulmindsprimarycare@yahoo.com Health Information Exchange (HIE) Beautiful Minds Behavioral Health Facility LLC

National Provider Directory

National Provider Directory

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1164024428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 W CHEYENNE AVE STE 100-130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328212",
            "telephone_number": "702-331-1917",
            "fax_number": "702-331-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 W CHEYENNE AVE STE 100-130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328212",
            "telephone_number": "702-331-1917",
            "fax_number": "702-331-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MINDS PRIMARY CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "BINION",
        "authorized_official_first_name": "LASHANDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-813-5413"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beautifulmindsprimarycare@yahoo.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Beautiful Minds Behavioral Health Facility LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3550 W Cheyenne Ave Ste 100-130",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890328212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.