Individual provider Active NPI

Ni'Kiryan Cammon

  • Personal Care Attendant
  • Henderson, NV
National Provider Identifier
1205793866
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
2961 E Serene Ave
Henderson, NV 89074-6507
Phone
(702) 948-4848
Fax
(702) 948-4845
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2961 E Serene Ave
Henderson, NV 89074-6507

Mailing address

2961 E Serene Ave
Henderson, NV 89074-6507
Phone (702) 948-4848

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1205793866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 E SERENE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746507",
            "telephone_number": "702-948-4848",
            "fax_number": "702-948-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 E SERENE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746507",
            "telephone_number": "702-948-4848",
            "fax_number": "702-948-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMON",
        "first_name": "NI'KIRYAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.