Active NPI
Salty Light LLC
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1912898701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SALTY LIGHT LLC
- Doing business as
- Salt & Light Medical Center
- Practice address
- 1477 E Lake Mead Pkwy Ste 130
Henderson, NV 89015-4647 - Phone
- (725) 726-2364
- NPI assigned
- Jul 10, 2025
- 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
- Heather Clawson
- Title
- Office Administrator
- Phone
- (725) 726-2364
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
1477 E Lake Mead Pkwy Ste 130
Henderson, NV 89015-4647
Mailing address
1477 E Lake Mead Pkwy Ste 130
Henderson, NV 89015-4647
Phone (725) 726-2364
Other names 1
- Salt & Light Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/IGHIDD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Roseville, CA
- NPI 1306924030
Family Medicine, NV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1912898701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 E LAKE MEAD PKWY STE 130",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890154647",
"telephone_number": "725-726-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 E LAKE MEAD PKWY STE 130",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890154647",
"telephone_number": "725-726-2364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALTY LIGHT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "CLAWSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "725-726-2364"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Salt & Light Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.