Organization Active NPI

Tranquility Wellness LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1336955913
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
TRANQUILITY WELLNESS LLC
Practice address
3920 E Patrick LN Ste D
Las Vegas, NV 89120-3927
Phone
(702) 353-6356
NPI assigned
Dec 9, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Taneice LockettNPI 1265193239
Title
Owner
Phone
(702) 353-6356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

3920 E Patrick LN Ste D
Las Vegas, NV 89120-3927

Mailing address

3920 E Patrick LN Ste D
Las Vegas, NV 89120-3927
Phone (702) 353-6356

National Provider Directory

National Provider Directory

Locations

3920 E Patrick Ln
Ste D
Las Vegas, NV 89120
Phone (702) 351-7998

Practitioners & affiliated clinicians

Practitioners 1

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": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1336955913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 E PATRICK LN STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203927",
            "telephone_number": "702-353-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 E PATRICK LN STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203927",
            "telephone_number": "702-353-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUILITY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "TANEICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-353-6356"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "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 Dec 27, 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.