Organization Active NPI

Everlast Wellness Group LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1659069995
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EVERLAST WELLNESS GROUP LLC
Practice address
8124 Sandy Slope CT
Las Vegas, NV 89113-4436
Phone
(702) 501-6137
NPI assigned
Apr 25, 2023
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Emilee Catelo
Title
Manager
Phone
(702) 501-6137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

8124 Sandy Slope CT
Las Vegas, NV 89113-4436

Mailing address

8124 Sandy Slope CT
Las Vegas, NV 89113-4436

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1659069995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 SANDY SLOPE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 SANDY SLOPE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134436",
            "telephone_number": "702-501-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLAST WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "CATELO",
        "authorized_official_first_name": "EMILEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-501-6137"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "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 Apr 25, 2023; 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.