FGKG LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

928474785 Issued in NV

Legal business name

FGKG LLC

Practice address

1620 Raiders Way Ste 140
Henderson, NV 89052-4631

Phone

(702) 395-3555

Fax

(877) 588-8501

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Zach Tyson Nelson

Title

Owner

Phone

(702) 395-3355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brace Yourself Doing business as

Locations

Practitioners 1

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

• Robert W Wall

  • Physical Therapist
  • Henderson, NV
  • NPI 1528549631
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1205834355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 RAIDERS WAY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524631",
            "telephone_number": "702-395-3555",
            "fax_number": "877-588-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 RAIDERS WAY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524631",
            "telephone_number": "702-395-3555",
            "fax_number": "877-588-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FGKG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ZACH",
        "authorized_official_middle_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-395-3355"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "928474785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510021",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brace Yourself",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marsilena Ferrell
• Myles Angelo Aranda Ferrer, MSN, APRN-CNP, FNP-C
• Emily Taylor Ferreria, PA-C
• Robert Festo Jr.
• Angeline Chloe Feyt
• Lelani Fiatau Tepa
• Fibonacci Services LLC
• Fibonacci Services LLC
• Yu Fickman, DMD
• Karlena Field

• Customized Equipment (DME) in Henderson, NV
• Providers in Henderson, NV by specialty
• Customized Equipment (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.