Organization Active NPI

First N Mind Care LLC

  • Medical Physician Assistant
  • North Las Vegas, NV
National Provider Identifier
1609692540
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
FIRST N MIND CARE LLC
Practice address
3925 N MLK Blvd Ste 117
North Las Vegas, NV 89032-7675
Phone
(702) 945-1065
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Jazzamin ClarkNPI 1649541475
Title
Sole MBR
Phone
(702) 945-1065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

3925 N MLK Blvd Ste 117
North Las Vegas, NV 89032-7675

Mailing address

2340 E Calvada Blvd Ste 6
Pahrump, NV 89048-5821
Phone (702) 945-1065

Other practice location 1

2340 E Calvada Blvd Ste 6
Pahrump, NV 89048-5821
Phone (702) 945-1065

Other names 1

  • First N Mind Care llc Former legal business name

National Provider Directory

National Provider Directory

Locations

2340 E Calvada Blvd
Ste 6
Pahrump, NV 89048
Phone (702) 945-1065

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1609692540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD STE 6",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485821",
            "telephone_number": "702-945-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N MLK BLVD STE 117",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327675",
            "telephone_number": "702-945-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 E Calvada Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485821",
            "country_code": "US",
            "telephone_number": "702-945-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST N MIND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAZZAMIN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "702-945-1065"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First N Mind Care llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.