NPIMap

Organization Active NPI

Carla Blair Wellness LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1699457945
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CARLA BLAIR WELLNESS LLC
Practice address
4528 Dawn Peak St
Las Vegas, NV 89129-3235
Phone
(520) 220-7774
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Carla L Blair, PA-CNPI 1841378312
Title
Owner/Manager
Phone
(520) 220-7774

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4528 Dawn Peak St
Las Vegas, NV 89129-3235

Mailing address

4528 Dawn Peak St
Las Vegas, NV 89129-3235
Phone (520) 220-7774

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1699457945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 DAWN PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293235",
            "telephone_number": "520-220-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 DAWN PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293235",
            "telephone_number": "520-220-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLA BLAIR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "520-220-7774",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "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 Aug 7, 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.