Active NPI
Nakoie Wilbon
- Specialist
- Henderson, NV
National Provider Identifier
1306719901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C-40187
- Practice address
- 520 Marks St Ste 110B
Henderson, NV 89014-8603 - Phone
- (702) 403-3035
- NPI assigned
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C-40187 | NV | Primary |
Addresses
Primary practice location
520 Marks St Ste 110B
Henderson, NV 89014-8603
Mailing address
304 S Jones Blvd # 7267
Las Vegas, NV 89107-2623
Phone (702) 403-3035
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-40187 | NV | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1306719901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S JONES BLVD # 7267",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072623",
"telephone_number": "702-403-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARKS ST STE 110B",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890148603",
"telephone_number": "702-403-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBON",
"first_name": "NAKOIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "C-40187",
"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 Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.