Dr. Nikki NP LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DR. NIKKI NP LLC

Doing business as

Elite Health and Wellness

Practice address

1070 W Horizon Ridge Pkwy Ste 111
Henderson, NV 89012-6019

Phone

(702) 336-0843

Fax

(469) 242-9677

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Nikesha Mobley, DNP, APRN-CNPNPI 1902384472

Title

Nurse Practitioner/Ceo

Phone

(702) 336-0843

Specialties & licenses 1

Addresses

Other names 1

• Elite Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikesha Mobley, DNP, APRN-CNP

  • Acute Care Nurse Practitioner
  • Henderson, NV
  • NPI 1902384472
  NPD Authorized official
• Charina Dy, APRN-C, FNP-BC

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1124730858
  NPD

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1760005995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126019",
            "telephone_number": "702-336-0843",
            "fax_number": "469-242-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 111",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126019",
            "telephone_number": "702-336-0843",
            "fax_number": "469-242-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NIKKI NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "NIKESHA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/CEO",
        "authorized_official_telephone_number": "702-336-0843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.