Golden Victory Medical

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GOLDEN VICTORY MEDICAL

Practice address

2870 S Maryland Pkwy Ste 200
Las Vegas, NV 89109-1580

Phone

(702) 703-1950

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth Brown, APRN

Title

Aprn/Owner

Phone

(952) 923-7256

Specialties & licenses 4

Addresses

Locations

Practitioners 4

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

• Anne Marie Esposito, LMHC

  • Mental Health Counselor
  • Ponte Vedra Beach, FL
  • NPI 1417603325
  NPD
• Syed Fawad Hussain, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1265408041
  NPD (past)
• Renee C Fields, LSCSW

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1235243759
  NPD (past)
• Heather Ann Shelton, LCPC

  • Professional Counselor
  • Wichita, KS
  • NPI 1396147096
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1609360254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANTHEM VILLAGE DR STE E-101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525505",
            "telephone_number": "952-923-7256",
            "fax_number": "702-442-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091580",
            "telephone_number": "702-703-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VICTORY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "952-923-7256",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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": []
}

• Golden Touch Behavioral Care Center Prof Corp
• Golden Touch Behavioral Care LLC
• Golden Touch Home Care
• Golden Touch Mental Health Care LLC
• Golden Victory Medical
• Golden Victory Medical
• Golden Victory Medical Internal Medicine
• Golden Vista Home Health Services, Inc.
• Golden Years Personal Care LLC
• Golden Years Personal Care LLC

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.