Active NPI
Brenda Primero NP LLC
- Adult Mental Health Clinic/Center
- Las Vegas, NV
National Provider Identifier
1164987871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BRENDA PRIMERO NP LLC
- Practice address
- 5155 Blue Diamond Rd
Las Vegas, NV 89139-7695 - Phone
- (702) 882-5561
- Fax
- (702) 956-9016
- NPI assigned
- Feb 6, 2019
- Last updated
- Jul 18, 2025
- 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
- Mrs. Brenda Primero, APRN, NP-C, PMHNP-BC
- Title
- President
- Phone
- (702) 882-5561
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU |
Addresses
Primary practice location
5155 Blue Diamond Rd
Las Vegas, NV 89139-7695
Mailing address
5155 Blue Diamond Rd
Las Vegas, NV 89139-7695
Phone (702) 882-5561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831613025 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
5155 Blue Diamond Rd
Las Vegas, NV 89139
Phone (702) 882-5561
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1831613025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752796800000",
"number": "1164987871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5155 BLUE DIAMOND RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891397695",
"telephone_number": "702-882-5561",
"fax_number": "702-956-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5155 BLUE DIAMOND RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891397695",
"telephone_number": "702-882-5561",
"fax_number": "702-956-9016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDA PRIMERO NP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-06",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A",
"authorized_official_last_name": "PRIMERO",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-882-5561",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN, NP-C, PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831613025",
"state": "NV"
}
],
"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 Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.