Nicksonhomes LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

NICKSONHOMES LLC

Practice address

2813 Perliter Ave
North Las Vegas, NV 89030-8707

Phone

(702) 353-1913

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Renee Buchanan-Nickson

Title

Ceo

Phone

(702) 353-1913

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1346924818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 PERLITER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890308707",
            "telephone_number": "702-353-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 PERLITER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890308707",
            "telephone_number": "702-353-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKSONHOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN-NICKSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-353-1913",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deandre Nichols
• Soyo Nichols
• Andrew Nicholson
• James A Nicholson, PA-C
• Amir K. Nicknam, M.D.
• Amanda Rarogal Nicolas
• Marlyn Lagman Nicolas, PHARM.D.
• Daniel Nicolaus, DC
• Nicole R Vaughn Changing Minds
• Kyle Pratt Nielson, MD

• Public Health or Welfare Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Public Health or Welfare Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.