Active NPI
MJB View LLC
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1487223236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MJB VIEW LLC
- Practice address
- 9863 Vista Meadows Ave
Las Vegas, NV 89148-5780 - Phone
- (702) 969-1774
- Fax
- (725) 240-7710
- NPI assigned
- Jun 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mojisola R Balogun, PMHNP-BC, FNP-BC
- Title
- Owner of Entity
- Phone
- (702) 969-1774
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
9863 Vista Meadows Ave
Las Vegas, NV 89148-5780
Mailing address
9863 Vista Meadows Ave
Las Vegas, NV 89148-5780
Phone (702) 969-1774
National Provider Directory
National Provider DirectoryLocations
8275 S Eastern Ave
Ste 200755
Las Vegas, NV 89123
Phone (702) 969-1774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1487223236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9863 VISTA MEADOWS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485780",
"telephone_number": "702-969-1774",
"fax_number": "725-240-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9863 VISTA MEADOWS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485780",
"telephone_number": "702-969-1774",
"fax_number": "725-240-7710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJB VIEW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "BALOGUN",
"authorized_official_first_name": "MOJISOLA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "702-969-1774",
"authorized_official_credential": "PMHNP-BC, FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"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 Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.