Individual provider Active NPI

Danielle E Webster

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1679371413
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
888039 Issued in NV
Practice address
911 N Buffalo Dr Unit 206-213
Las Vegas, NV 89128-0379
Phone
(702) 405-8088
Fax
(702) 405-6066
NPI assigned
Mar 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 888039 NV Primary

Addresses

Primary practice location

911 N Buffalo Dr Unit 206-213
Las Vegas, NV 89128-0379

Mailing address

5127 Wagon Wheel LN
Columbus, OH 43230-1599
Phone (614) 316-8042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014001604 NV Practitioner - Nurse Practitioner 9032606017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio University, College of Osteopathic Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Changing Minds Psychiatry LLCGroup PAC ID 8820365729, 51 clinicians

Practice addresses (Care Compare)

911 N Buffalo Dr
Unit 206
Las Vegas, NV 89128-0381
Phone (702) 405-8088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
888039NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Minds Psychiatry LLC CurrentSince Sep 9, 2025 Accepting new patients
Changing Minds Psychiatry LLC Psychiatric/Mental Health PastSince Sep 9, 2025 Accepting new patients

Locations

2960 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 677-1104

911 N Buffalo Dr
Unit 206
Las Vegas, NV 89128
Phone (702) 704-8685

911 N Buffalo Dr
Unit 206213
Las Vegas, NV 89128

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1679371413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 WAGON WHEEL LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301599",
            "telephone_number": "614-316-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N BUFFALO DR UNIT 206-213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280379",
            "telephone_number": "702-405-8088",
            "fax_number": "702-405-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "DANIELLE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "888039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.