Nuskin Biologics LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

NUSKIN BIOLOGICS LLC

Practice address

801 S Rancho Dr Ste B1B
Las Vegas, NV 89106-3871

Phone

(702) 400-0517

NPI assigned

Jul 1, 2021

Last updated

Jul 1, 2021By 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

Stanley Kidiavayi, NPNPI 1902290968

Title

Owner

Phone

(702) 304-2144

Specialties & licenses 1

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.

• Stanley Kidiavayi, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1902290968
  Authorized official Same address or phone

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1851961718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 SAXTON GREEN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE B1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063871",
            "telephone_number": "702-400-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSKIN BIOLOGICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "KIDIAVAYI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-304-2144",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wound Care Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Wound Care Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.