Active NPI
Millennium Health Family Center LLC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1851131270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MILLENNIUM HEALTH FAMILY CENTER LLC
- Practice address
- 4055 Spencer St Ste 216
Las Vegas, NV 89119-5251 - Phone
- (725) 206-5474
- Fax
- (725) 206-5474
- NPI assigned
- May 31, 2024
- Last updated
- Jun 29, 2024
- 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
- Emily Castillo
- Title
- Director of Credentialing
- Phone
- (702) 480-2550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4055 Spencer St Ste 216
Las Vegas, NV 89119-5251
Mailing address
4055 Spencer St Ste 216
Las Vegas, NV 89119-5251
Phone (725) 206-5474
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719619200000",
"number": "1851131270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 SPENCER ST STE 216",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195251",
"telephone_number": "725-206-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 SPENCER ST STE 216",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195251",
"telephone_number": "725-206-5474",
"fax_number": "725-206-5474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENNIUM HEALTH FAMILY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2024-06-29",
"certification_date": "2024-06-29",
"status": "A",
"authorized_official_last_name": "CASTILLO",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "702-480-2550"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"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 Jun 29, 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.