Kietre Medical and Behavioral Clinic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KIETRE MEDICAL AND BEHAVIORAL CLINIC

Practice address

17 Summit Creek Ave
N Las Vegas, NV 89031-6856

Phone

(702) 670-0280

NPI assigned

Jun 9, 2025

Organization subpart

No

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

Authorized official

Name

Akisha Toussaint, APRN, PMHNP, FNPNPI 1760026736

Title

Managing Member

Phone

(702) 670-0280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Akisha Toussaint, PMHNP

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1760026736
  Medicare reassignment NPD Authorized official
• Christianah Sutton, FNP - C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1356938716
  Medicare reassignment

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1194619619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SUMMIT CREEK AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890316856",
            "telephone_number": "702-670-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SUMMIT CREEK AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890316856",
            "telephone_number": "702-670-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIETRE MEDICAL AND BEHAVIORAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "TOUSSAINT",
        "authorized_official_first_name": "AKISHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-670-0280",
        "authorized_official_credential": "APRN, PMHNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keepbuildin LLC
• Madeline Kelley
• Rhonda Denise Kelly
• Doris Ann Kennedy, M.ED
• Khoa D Le
• Ji In Kim, D.D.S.
• Lance J Kim, DMD
• Adrian King
• Amy L. J. King, NP
• Lachesity Maria King

• Nurse Practitioner in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.