Nirvana Health

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

NIRVANA HEALTH

Practice address

6732 Divers Loons St
North Las Vegas, NV 89084-2691

Phone

(702) 379-7571

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Jennasen NarcisoNPI 1952602757

Title

Owner

Phone

(702) 379-7571

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennasen Narciso

  • Community Health Worker
  • North Las Vegas, NV
  • NPI 1952602757
  NPD Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1568077519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 DIVERS LOONS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842691",
            "telephone_number": "702-379-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6732 DIVERS LOONS ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842691",
            "telephone_number": "702-379-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "NARCISO",
        "authorized_official_first_name": "JENNASEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-379-7571"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.