Individual provider Active NPI

Christine Yvette Pebbles, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1457962227
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
832695 Issued in NV
Practice address
1285 Baring Blvd
Pmb213
Sparks, NV 89434
Phone
(775) 555-5555
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 832695 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 832695 NV Primary

Addresses

Primary practice location

1285 Baring Blvd
Pmb213
Sparks, NV 89434

Mailing address

1285 Baring Blvd
Pmb213
Sparks, NV 89434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722003814 NV Practitioner - Nurse Practitioner 3870996572 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
832695NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Durette MD PLLC Current Accepting new patients
Lisa a Durette MD PLLC CurrentSince Dec 10, 2023 Accepting new patients
Thunder Pain Management, P.C. CurrentSince Apr 15, 2025 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

6600 W Charleston Blvd
Ste 140160
Las Vegas, NV 89146

6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440

6600 W Charleston Blvd
Ste 142
Las Vegas, NV 89146
Phone (702) 440-8430

552 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 440-8440

526 S Tonopah Dr
Ste 200
Las Vegas, NV 89106
Phone (702) 440-8430

840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106

6548 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 323-5458

Interoperability endpoints

  • Direct secure messaging: pebblespsychiatry@docvilladirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1457962227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 BARING BLVD",
            "address_2": "PMB213",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89434",
            "fax_number": "775-419-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 BARING BLVD",
            "address_2": "PMB213",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89434",
            "telephone_number": "775-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEBBLES",
        "first_name": "CHRISTINE",
        "middle_name": "YVETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832695",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "832695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.