Facial Expressions Presented by K. Thomas

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FACIAL EXPRESSIONS PRESENTED BY K. THOMAS

Doing business as

Facial Expressions MedSpa & Wellness Center

Practice address

1485 W Warm Springs Rd Ste 109-B
Henderson, NV 89014-7631

Phone

(702) 482-9980

NPI assigned

Oct 27, 2019

Organization subpart

No

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

Authorized official

Name

Kenisha Thomas, NURSE PRACTITIONER

Title

NP/ Business Owner

Phone

(504) 610-5194

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Facial Expressions MedSpa & Wellness Center Doing business as

Electronic endpoints 3

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26624/brand/2/csg/21/fhir/r4

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1508409145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 N GREEN VALLEY PKWY # 469",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 W WARM SPRINGS RD STE 109-B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147631",
            "telephone_number": "702-482-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL EXPRESSIONS PRESENTED BY K. THOMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-27",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KENISHA",
        "authorized_official_title_or_position": "NP/ BUSINESS OWNER",
        "authorized_official_telephone_number": "504-610-5194",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609359165",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250006009",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1520 W. Sunset Rd. Ste 130, #205",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "89014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1520 W. Sunset Rd. Ste 130, #205",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "89014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "Electronic Record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1485 W Warm Springs Rd Ste 109-B",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890147631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Facial Expressions MedSpa & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel E Fabito, M.D.
• Richard J Fabulich
• Faccinto and Mayer Eye Care P.C. (Mayer Eye Care)
• Gary Facella
• John Facella
• Jessica Fadgen, DPT
• Margaret L. Fagan, LCADC
• Mary Fails-Adams
• Elizabeth Fair
• Jared David Fairbanks, D.O.

• Multi-Specialty Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Multi-Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.