Organization Active NPI

Visions Health & Wellness LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1740671502
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20151096118 Issued in NV
Legal business name
VISIONS HEALTH & WELLNESS LLC
Practice address
2481 N Decatur Blvd Ste D
Las Vegas, NV 89108-2957
Phone
(702) 527-6337
Fax
(702) 979-9688
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Ms. Elizabeth KunickiNPI 1578999223
Title
Owner
Phone
(702) 561-3708

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
Community/Behavioral Health Agency 251S00000X 20151096118 NV Primary

Addresses

Primary practice location

2481 N Decatur Blvd Ste D
Las Vegas, NV 89108-2957

Mailing address

2481 N Decatur Blvd Ste D
Las Vegas, NV 89108-2957
Phone (702) 527-6337

Other practice location 1

2481 N Decatur Blvd Ste D
Las Vegas, NV 89108-2957
Phone (702) 527-6337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171017000697 NV Part B Supplier - Clinic/Group Practice 6608142864 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2481 N Decatur Blvd
Ste D
Las Vegas, NV 89108
Phone (702) 527-6337

2501 E Cheyenne Ave
North Las Vegas, NV 89030
Phone (702) 527-6337

Practitioners & affiliated clinicians

Practitioners 7

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": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1740671502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 N DECATUR BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082957",
            "telephone_number": "702-527-6337",
            "fax_number": "702-979-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 N DECATUR BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082957",
            "telephone_number": "702-527-6337",
            "fax_number": "702-979-9688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2481 N Decatur Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891082957",
            "country_code": "US",
            "telephone_number": "702-527-6337",
            "fax_number": "702-979-9688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISIONS HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "KUNICKI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-561-3708",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "20151096118",
            "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 Nov 3, 2020; 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.