Western State Pain Institute

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

2004752-062-101 Issued in NV

Legal business name

WESTERN STATE PAIN INSTITUTE

Practice address

3910 Pecos McLeod Ste D100
Las Vegas, NV 89121-7445

Phone

(702) 629-7575

Fax

(702) 629-7616

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Frances Nedd

Title

Owner

Phone

(702) 629-7577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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

• Marvina Franklin Butler, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1427561091
  Medicare reassignment NPD
• Krizelle Quiambao Mallanta

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1720818438
  Medicare reassignment NPD
• Yvette Sidonie Temkeng

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1417619966
  Medicare reassignment NPD
• Beraldo A Vazquez Correa, MD

  • Internal Medicine Physician
  • Tonopah, NV
  • NPI 1417901901
  Medicare reassignment NPD
• Kamika McLaughlin, FNP-C FNP-BC

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1205408127

  NV

  Medicare reassignment NPD
• William H Baumgartl, MD

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1528004496
  Medicare reassignment
• Davita Jackson-Clark, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1871018176
  NPD (past)
• Erickson Nery

  • Family Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1023691235
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1932693447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 PECOS MCLEOD STE C100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214304",
            "telephone_number": "702-629-7575",
            "fax_number": "702-629-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 PECOS MCLEOD STE D100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217445",
            "telephone_number": "702-629-7575",
            "fax_number": "702-629-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN STATE PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "NEDD",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-629-7577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NV",
            "license": "2004752-062-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Home Care
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• Western Home Care, LLC
• Western Medical Transportation LLC
• Western State Behavioral Health and Psychiatric Services, Inc (Western State Behavioral Health and Psychiatric Services)
• Ariana Westfall, M.S. MFT-I
• Leslie Marie Westfield Baxter, PHD
• Westfield Eye Center Kenneth C Westfield, MD LTD (Westfield Eye Center)
• Westfield Nevada Eye and Ear
• Kenneth Cecil Westfield, M.D.

• Pain Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.