Active NPI
Nicole C Okeke, NP
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN001146
- Practice address
- 4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802 - Phone
- (702) 485-2100
- Fax
- (702) 825-0091
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN 001146 | NV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN001146 | NV | Primary |
Addresses
Primary practice location
4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
Mailing address
3085 E Flamingo Rd Ste a
Las Vegas, NV 89121-4385
Phone (702) 436-0835
Other practice location 1
3085 E Flamingo Rd Ste A
Las Vegas, NV 89121-4385
Phone (702) 436-0835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1061
Phone (702) 508-6608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN 001146 | NV | MD | Nurse Practitioner |
| APN001146 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restored Mind Psychiatric Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Medtrans Medical Nevada Casal PLLC | Current | Accepting new patients | |
| Homebase Care Casal PLLC | Current | Accepting new patients |
Locations
3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825
5412 Boulder Hwy
Las Vegas, NV 89122
500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148
850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1194306274
-
- Community Health Clinic/Center
- Las Vegas, NV
- NPI 1750846549
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1942863253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1164752879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3085 E FLAMINGO RD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891214385",
"telephone_number": "702-436-0835",
"fax_number": "702-435-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4270 S DECATUR BLVD STE B6",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891036802",
"telephone_number": "702-485-2100",
"fax_number": "702-825-0091"
}
],
"practiceLocations": [
{
"address_1": "3085 E Flamingo Rd Ste A",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891214385",
"country_code": "US",
"telephone_number": "702-436-0835",
"fax_number": "702-435-6212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKEKE",
"first_name": "NICOLE",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-31",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APN 001146",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "APN001146",
"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 Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.