Maiora Aesthetics & Wellness

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MAIORA AESTHETICS & WELLNESS

Practice address

5660 W.Flamingo Rd.
Las Vegas, NV 89103

Phone

(702) 423-1663

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Idica, APRN, FNP-BCNPI 1225621923

Title

Medical Director

Phone

(808) 341-6764

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jessica Idica

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1225621923
  NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1902587181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12427 PINETINA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89141",
            "telephone_number": "808-341-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 W.FLAMINGO RD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89103",
            "telephone_number": "702-423-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIORA AESTHETICS & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "IDICA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-341-6764",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Cookie Main
• Donecia Maine
• Simone Rose Mainiero
• Brenda Mainor
• Maintaining Good Mental Health LLC
• Kim Maiorca
• Jade-Lee Maisano
• Maison Luxare LLC
• Maria Maisonet
• Maisto Family Medical, LTD.

• 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 Jul 31, 2023; 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.