Active NPI
Primary Care of Souther Nevada LLC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1699502344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PRIMARY CARE OF SOUTHER NEVADA LLC
- Practice address
- 1681 E Flamingo Rd Ste 1B
Las Vegas, NV 89119-5274 - Phone
- (702) 703-8008
- NPI assigned
- Sep 17, 2024
- 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
- Karapet Ayvazyan
- Title
- Owner
- Phone
- (702) 703-8008
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1681 E Flamingo Rd Ste 1B
Las Vegas, NV 89119-5274
Mailing address
1681 E Flamingo Rd Ste 1B
Las Vegas, NV 89119-5274
Phone (702) 703-8008
National Provider Directory
National Provider DirectoryLocations
1681 E Flamingo Rd
Ste 1B
Las Vegas, NV 89119
Phone (702) 703-8008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1699502344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1681 E FLAMINGO RD STE 1B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195274",
"telephone_number": "702-703-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1681 E FLAMINGO RD STE 1B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195274",
"telephone_number": "702-703-8008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE OF SOUTHER NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "AYVAZYAN",
"authorized_official_first_name": "KARAPET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-703-8008"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"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 Sep 17, 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.