Wellnessrehab Pain Management Clinic LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

WELLNESSREHAB PAIN MANAGEMENT CLINIC LLC

Practice address

5120 S Pecos Rd
Las Vegas, NV 89120-1237

Phone

(702) 720-4624

Fax

(725) 224-0909

NPI assigned

Jan 18, 2024

Last updated

Jan 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William V Quiba, APRN, FNP-CNPI 1750959086

Title

Managing Member

Phone

(702) 576-6102

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William V Quiba, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1750959086
  NPD Authorized official

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1801657788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N HUALAPAI WAY STE 145 BOX 312",
            "address_2": "BOX 312",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-576-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201237",
            "telephone_number": "702-720-4624",
            "fax_number": "725-224-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSREHAB PAIN MANAGEMENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "QUIBA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-576-6102",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Rejuvenation Center
• Wellness Support Services
• Wellness Transport, LLC
• Wellness With Molina & Associates LLC
• Wellness, Redemption, & Rehabilitation Program (WRRP), Inc.
• Wellnite Medical Group PA
• Wells Communication and Feeding Therapy, LLC
• Shayara Yvonne Wells-Sims
• Alexa Wells, M.S., CF-SLP
• Alexandra Angelica Wells

• Pain Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.