Active NPI
Brooks One Recovery Services
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1770995656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN001702
- Legal business name
- BROOKS ONE RECOVERY SERVICES
- Practice address
- 6161 W Charleston Blvd
Las Vegas, NV 89146-1126 - Phone
- (702) 486-6045
- NPI assigned
- May 27, 2014
- 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
- Mr. Sean Harkness Elder, APRN
- Title
- Aprn
- Phone
- (520) 433-2275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN001702 | NV | Primary |
Addresses
Primary practice location
6161 W Charleston Blvd
Las Vegas, NV 89146-1126
Mailing address
6161 W Charleston Blvd
Las Vegas, NV 89146-1126
Phone (702) 486-6045
Other names 1
- Brooks One Recovery Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401148800000",
"number": "1770995656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461126",
"telephone_number": "702-486-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461126",
"telephone_number": "702-486-6045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS ONE RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A",
"authorized_official_last_name": "ELDER",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "HARKNESS",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "520-433-2275",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "APRN001702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brooks One Recovery Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.