Organization Active NPI

Nurse Practitioners Staffing Corp LLC

Doing business as Primary Care and Walk-in clinic

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1659892123
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2406 Issued in NV
Legal business name
NURSE PRACTITIONERS STAFFING CORP LLC
Doing business as
Primary Care and Walk-in clinic
Practice address
5693 S Jones Blvd Ste 102
Las Vegas, NV 89118-1969
Phone
(714) 856-4414
Fax
(855) 641-8906
NPI assigned
Jul 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ronnie M Valle, NP
Title
Provider
Phone
(714) 856-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2406 NV Primary

Addresses

Primary practice location

5693 S Jones Blvd Ste 102
Las Vegas, NV 89118-1969

Mailing address

5693 S Jones Blvd Ste 102
Las Vegas, NV 89118-1969
Phone (714) 856-4414

Other names 1

  • Primary Care and Walk-in clinic Doing business as

National Provider Directory

National Provider Directory

Locations

5693 S Jones Blvd
Ste 102
Las Vegas, NV 89118
Phone (702) 524-9599

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": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659892123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5693 S JONES BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181969",
            "telephone_number": "714-856-4414",
            "fax_number": "855-641-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5693 S JONES BLVD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181969",
            "telephone_number": "714-856-4414",
            "fax_number": "855-641-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONERS STAFFING CORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "714-856-4414",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "2406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care and Walk-in clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 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.