Primary Wellness LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PRIMARY WELLNESS LLC

Practice address

5120 S Pecos Rd
Las Vegas, NV 89120-1237

Phone

(702) 576-6102

Fax

(725) 224-0909

NPI assigned

Apr 3, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Quiba, NPNPI 1750959086

Title

Manager

Phone

(702) 576-6102

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William V Quiba, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1750959086
  Medicare reassignment Care Compare group NPD Authorized official
• Cristopher R Lipana, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1457934887
  Medicare reassignment Care Compare group NPD
• Robert L Paluay

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1609588433

  Multi-Specialty

  Medicare reassignment NPD
• Katriella Fernandez, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1073169454
  NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1902501448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N HUALAPAI WAY STE 145",
            "address_2": "BOX 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-576-6102",
            "fax_number": "725-224-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201237",
            "telephone_number": "702-576-6102",
            "fax_number": "725-224-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "QUIBA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-576-6102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care, Inc.
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• Primary MC LLC
• Primary Specialties Medical Group, Inc.
• Ciera Primas, CPC-I, CADC-I
• Prime Cardiology Group PLLC
• Prime Care Medical Services, Inc.
• Prime Care Pharmacy
• Prime Choice Home Health, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.