Elite Care Providers LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ELITE CARE PROVIDERS LLC

Practice address

4567 Weitzman PL
Las Vegas, NV 89141

Phone

(725) 755-5933

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 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

Katrina Bidwell, APRNNPI 1194407452

Title

Provider

Phone

(510) 378-9718

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.

• Katrina Bidwell, APRN, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1194407452
  NPD Authorized official

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1861207599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 WEITZMAN PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891416036",
            "telephone_number": "510-378-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 WEITZMAN PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89141",
            "telephone_number": "725-755-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "510-378-9718",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Advanced Practice LLC
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• Elite Care Home Health LLC
• Elite Care LLC (Nurse Next Door Home Care Services)
• Elite Care Mobile Medical Group (Family Healthcare Services)
• Elite Counseling Center LLC
• Elite Dental, Inc. (Elite Dental)
• Elite Endoscopy LLC
• Elite Enterpise Solutions LLC (Elite Workforce Screening)
• Elite Health Group Inc

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.