Starr Joseph

Individual provider Active NPI Nurse's Aide · Laughlin, NV

NPI 1174498844 · NPPES record last updated Oct 10, 2025

Key facts

NPI
1174498844
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
CNA99999752 (AZ)
Practice address
3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815
Phone
(702) 868-1400
NPI assigned
Oct 10, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CNA99999752AZMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Nevada LLC Current
since Oct 12, 2025
Accepting new patients
Canyon Nevada LLC Current
since Oct 12, 2025
Accepting new patients

Locations

3100 S Needles Hwy
Ste 500
Laughlin, NV 89029
Phone (702) 703-1262

746 E Winchester St
Ste 200
Salt Lake City, UT 84107

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CNA99999752 AZ Yes

Addresses

Primary practice location

3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815

Mailing address

746 E Winchester St Ste 200
Murray, UT 84107-8513
Phone (801) 485-6166

Other providers in Laughlin, NV

All providers in Laughlin, NV · Nurse's Aide in Nevada

Sources for this page

Verify at the official NPI Registry.