Active NPI
Panacea Health and Wellness, LLC
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1881269843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PANACEA HEALTH AND WELLNESS, LLC
- Practice address
- 9418 W Lake Mead Blvd
Las Vegas, NV 89134-8312 - Phone
- (702) 279-7241
- NPI assigned
- May 23, 2021
- 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
- Sarah A Patterson-Hunold, APRN
- Title
- Family Nurse Practitioner
- Phone
- (702) 279-7241
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9418 W Lake Mead Blvd
Las Vegas, NV 89134-8312
Mailing address
6210 N Jones Blvd # 752763
Las Vegas, NV 89130-4001
Phone (702) 279-7241
National Provider Directory
National Provider DirectoryLocations
6210 N Jones Blvd
#752763
Las Vegas, NV 89130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621728000000",
"number": "1881269843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 N JONES BLVD # 752763",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891304001",
"telephone_number": "702-279-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9418 W LAKE MEAD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891348312",
"telephone_number": "702-279-7241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANACEA HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-23",
"last_updated": "2021-05-23",
"certification_date": "2021-05-23",
"status": "A",
"authorized_official_last_name": "PATTERSON-HUNOLD",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "702-279-7241",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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 May 23, 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.