Organization Active NPI

Debry Vitality Academies PC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1699635946
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DEBRY VITALITY ACADEMIES PC
Practice address
6140 Brent Thurman Way Ste 100
Las Vegas, NV 89148-5016
Phone
(702) 602-5002
Fax
(702) 988-8818
NPI assigned
Nov 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Peter Winston Debry, MDNPI 1831137991
Title
Practice Owner
Phone
(702) 602-5002

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6140 Brent Thurman Way Ste 100
Las Vegas, NV 89148-5016

Mailing address

6140 Brent Thurman Way Ste 100
Las Vegas, NV 89148-5016
Phone (702) 602-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260304002117 NV Part B Supplier - Clinic/Group Practice 7810479318 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6140 Brent Thurman Way
Ste 100
Las Vegas, NV 89148
Phone (702) 602-5002

Practitioners & affiliated clinicians

Practitioners 2

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": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1699635946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 BRENT THURMAN WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485016",
            "telephone_number": "702-602-5002",
            "fax_number": "702-988-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 BRENT THURMAN WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485016",
            "telephone_number": "702-602-5002",
            "fax_number": "702-988-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRY VITALITY ACADEMIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "DEBRY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "702-602-5002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.