Organization Active NPI

Advanced Pain Management and Addiction

  • Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1205518933
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ADVANCED PAIN MANAGEMENT AND ADDICTION
Practice address
6135 Harrison Dr
Las Vegas, NV 89120-4044
Phone
(319) 899-9139
NPI assigned
Aug 2, 2023
Last updated
Jan 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Susan Nytes, FNPNPI 1013655091
Title
Manager
Phone
(319) 899-9139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

6135 Harrison Dr
Las Vegas, NV 89120-4044

Mailing address

6135 Harrison Dr Ste 3a
Las Vegas, NV 89120-4076

Other practice location 1

141 S Frontage Rd Ste C
Pahrump, NV 89048-2159
Phone (319) 899-9139

National Provider Directory

National Provider Directory

Locations

6135 Harrison Dr
Las Vegas, NV 89120
Phone (319) 899-9139

6135 Harrison Dr
Ste 3A
Las Vegas, NV 89120
Phone (319) 899-9139

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1205518933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 HARRISON DR STE 3A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 HARRISON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204044",
            "telephone_number": "319-899-9139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 S Frontage Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890482159",
            "country_code": "US",
            "telephone_number": "319-899-9139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT AND ADDICTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "NYTES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-899-9139",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "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 Jan 10, 2024; 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.