Davis M Nieves Quinones

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

368 Free Fall Ave
North Las Vegas, NV 89084-1430

Phone

(702) 528-6958

NPI assigned

May 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Willpower Mindset LLC

  • Mental Health Counselor
  • North Las Vegas, NV
  • NPI 1407541162
  NPD Authorized official

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1730744806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FREE FALL AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841430",
            "telephone_number": "702-528-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 FREE FALL AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841430",
            "telephone_number": "702-528-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES QUINONES",
        "first_name": "DAVIS",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-04",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Nicolaus, DC
• Nicole R Vaughn Changing Minds
• Kyle Pratt Nielson, MD
• Nina Loene Niemeyer, D.O.
• Yailen Nieto-Enamorado
• Christian Nieves
• Nightingale Home Health LLC
• Shanna Nijem, P.T.A.
• Nile Valley Solutions of Nevada, LLC
• Dawn Nilsen, LPN/LVN

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.