Active NPI
Thewell
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1750777983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN001599
- Legal business name
- THEWELL
- Practice address
- 1485 E Flamingo Rd
Las Vegas, NV 89119-5256 - Phone
- (844) 282-9355
- Fax
- (702) 386-0977
- NPI assigned
- Apr 14, 2015
- 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
- Daniel Gath
- Title
- Mso
- Phone
- (844) 282-9355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN001599 | NV | Primary |
Addresses
Primary practice location
1485 E Flamingo Rd
Las Vegas, NV 89119-5256
Mailing address
1485 E Flamingo Rd
Las Vegas, NV 89119-5256
Phone (844) 282-9355
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428969600000",
"number": "1750777983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 E FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195256",
"telephone_number": "844-282-9355",
"fax_number": "702-386-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 E FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195256",
"telephone_number": "844-282-9355",
"fax_number": "702-386-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEWELL",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-14",
"last_updated": "2015-04-14",
"status": "A",
"authorized_official_last_name": "GATH",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MSO",
"authorized_official_telephone_number": "844-282-9355"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN001599",
"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 Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.