Active NPI
The Wellness Center of Las Vegas, LLC
- Adult Mental Health Clinic/Center
- Las Vegas, NV
National Provider Identifier
1699470419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- THE WELLNESS CENTER OF LAS VEGAS, LLC
- Practice address
- 415 S Decatur Blvd
Las Vegas, NV 89107-2812 - Phone
- (725) 910-3725
- NPI assigned
- Apr 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Diago, APRN
- Title
- Member
- Phone
- (725) 910-3725
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
415 S Decatur Blvd
Las Vegas, NV 89107-2812
Mailing address
5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone (725) 910-3725
National Provider Directory
National Provider Directory- Tax ID family
- The Wellness Center of Las Vegas LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1770278566
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1942086368
Locations
415 S Decatur Blvd
Las Vegas, NV 89107
Phone (702) 462-2325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1699470419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "725-910-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072812",
"telephone_number": "725-910-3725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLNESS CENTER OF LAS VEGAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "DIAGO",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "725-910-3725",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"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 3, 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.