Desert Pain & Wellness Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DESERT PAIN & WELLNESS CLINIC LLC

Practice address

2000 S Eastern Ave # C
Las Vegas, NV 89104-4100

Phone

(725) 251-5308

NPI assigned

Sep 30, 2024

Last updated

Mar 17, 2025By 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

Laurie Laduca

Title

Credentialing Manager

Phone

(845) 702-2711

Specialties & licenses 4

Addresses

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, and the practitioner matching its NPPES authorized official.

• Lisa M Gorman, FNP

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1619536844

  Multi-Specialty

  Medicare reassignment NPD
• Beverly D Strauss-Dipaolo, APN

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1891726774
  Medicare reassignment NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1811715774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S EASTERN AVE # C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S EASTERN AVE # C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044100",
            "telephone_number": "725-251-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PAIN & WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "LADUCA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "845-702-2711"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Neurology Associates, LLC (Nicole F. Theuvenet, M.D.)
• Desert Neuromonitoring Group, LLC
• Desert Orthopaedic Billing LLC
• Desert Orthopaedic Center, LTD.
• Desert Orthopaedic Center, LTD.
• Desert Parkway Behavioral Healthcare Hospital, LLC
• Desert Peace Therapy LLC
• Desert Pines Family Health Center
• Desert Primary Care PLLC
• Desert Pulmonary Rehabilitation and Diagnostics LLC

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.