NPIMap

Organization Active NPI

Doctors Center at Red Rock Capobianco PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1942688932
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
958 Issued in NV
Legal business name
DOCTORS CENTER AT RED ROCK CAPOBIANCO PLLC
Practice address
2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400
Phone
(702) 684-7800
Fax
(702) 684-7878
NPI assigned
May 11, 2015
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Kelsi Skee
Title
Credentialing
Phone
(575) 313-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 958 NV Primary

Addresses

Primary practice location

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400

Mailing address

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400
Phone (702) 684-7800

Other practice location 1

7220 S Cimarron Rd Ste 155
Las Vegas, NV 89113-2170
Phone (702) 602-5444

Other practice location 2

1681 W Horizon Ridge Pkwy
Henderson, NV 89012-3494
Phone (702) 998-5549

Other names 1

  • Doctors Center at Red Rock Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150522002076 NV Part B Supplier - Clinic/Group Practice 6204156763 Receives reassigned benefits from 25 practitioners
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2801 N Tenaya Way
Ste C
Las Vegas, NV 89128
Phone (702) 684-7800

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1942688932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800",
            "fax_number": "702-684-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800",
            "fax_number": "702-684-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7220 S Cimarron Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132170",
            "country_code": "US",
            "telephone_number": "702-602-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1681 W Horizon Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890123494",
            "country_code": "US",
            "telephone_number": "702-998-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTORS CENTER AT RED ROCK CAPOBIANCO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SKEE",
        "authorized_official_first_name": "KELSI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "575-313-9251"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NV",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Center at Red Rock",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 30, 2025; 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.