Organization Active NPI

Better Health Nevada LLC

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1902534316
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
BETTER HEALTH NEVADA LLC
Practice address
2080 E Flamingo Rd Ste 110
Las Vegas, NV 89119-5175
Phone
(702) 623-8651
Fax
(702) 605-1744
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Yamilka Castillo Gongora, APRNNPI 1053690362
Title
Owner Provider
Phone
(702) 623-8651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

2080 E Flamingo Rd Ste 110
Las Vegas, NV 89119-5175

Mailing address

2080 E Flamingo Rd Ste 110
Las Vegas, NV 89119-5175
Phone (702) 623-8651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221219002220 NV Part B Supplier - Clinic/Group Practice 3375912082 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2275352Better Health Nevada LLC2080 E Flamingo Rd Ste 110, Las Vegas, NV 89119Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1902534316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195175",
            "telephone_number": "702-623-8651",
            "fax_number": "702-605-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 E FLAMINGO RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195175",
            "telephone_number": "702-623-8651",
            "fax_number": "702-605-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER HEALTH NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "CASTILLO GONGORA",
        "authorized_official_first_name": "YAMILKA",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "702-623-8651",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "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 Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.