Silver State Wellness Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SILVER STATE WELLNESS CENTER

Practice address

570 W Cheyenne Ave Ste 200
North Las Vegas, NV 89030-3983

Phone

(702) 677-7410

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Miss Michelle Renee Wyatt

Title

Director

Phone

(702) 929-1142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1972246676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 DWAYNE STEDMAN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062460",
            "telephone_number": "702-929-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W CHEYENNE AVE STE 200",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890303983",
            "telephone_number": "702-677-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-929-1142",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Silva
• Eric Silva
• Jessica Silvas
• Silver State Community & Health Services LLC
• Silver State Prevention & Treatment
• Albert Silvestre
• Bogdan Sima, M.D.
• Carol Ann Simenson, LISW LCSW
• Jacob Simkins
• Tarheisha Simmons -Alvarez

• General Practice Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.