DR. NIKKI, NP LLC (NPI# 1760005995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760005995 |
| Entity Type | Organization |
| Organization Name | DR. NIKKI, NP LLC |
| Other Organization Name | ELITE HEALTH AND WELLNESS |
| Practice Address |
1070 W Horizon Ridge Pkwy Ste 111 Henderson NV 89012-6019 |
| Practice Telephone | 7023360843 |
| Practice Fax Number | 4692429677 |
| Mailing Telephone | 7023360843 |
| Mailing Fax Number | 4692429677 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | DR. NIKESHA MOBLEY (NURSE PRACTITIONER/CEO) |
| Authorized Official Telephone | 7023360843 |
| Authorized Official Credential | DNP, APRN-CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Elite Health and Wellness | Doing Business As Name - Organization |
| Street Address |
1070 W HORIZON RIDGE PKWY STE 111 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89012-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384472 | Nikesha Mobley | Nurse Practitioner | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, NV 89012-6019 | 2018-08-06 |
| 1700493830 | Nv Behavioral Health Services | Clinic/Center | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, NV 89012-6019 | 2020-09-23 |
| 1780216184 | Linda Hawley, L.L.C. Dba My Mind and Me | Nurse Practitioner | 1070 W Horizon Ridge Pkwy Ste 111, Henderson, NV 89012-6019 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
| 1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
| 1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
| 1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
| 1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
| 1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
| Find all providers in zip 89012 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194369793 | Western Mountain Medical Center, PC | Clinic/Center | 2482 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2726 | 2019-11-06 |
| 1992269336 | Activate Healthcare - Local 14 Henderson App | Clinic/Center | 1505 Wigwam Pkwy # 241, Henderson, NV 89074-8194 | 2019-01-30 |
| 1730573908 | Wellness and Education Centers of Nevada, Inc | Clinic/Center | 601 Whitney Ranch Dr Ste C12, Henderson, NV 89014-2643 | 2015-03-25 |
| 1669817334 | Complete Medical Consultants, LLC | Clinic/Center | 2920 N Green Valley Pkwy Ste 821, Henderson, NV 89014-0409 | 2013-05-07 |
| 1104013739 | Marisa C Medina Md PC | Clinic/Center | 11201 S Eastern #120, Henderson, NV 89052-6200 | 2007-09-27 |
| 1770770307 | Hipp Medical Services Inc PC | Clinic/Center | 11201 S Eastern Ave Ste 120, Henderson, NV 89052-6200 | 2007-09-27 |
| 1407043201 | Badar Anwar Md PC | Clinic/Center | 660 S Green Valley Pkwy Ste 100, Henderson, NV 89052-0431 | 2007-09-26 |
| 1922565746 | Activate Healthcare - Local 14 Henderson Md | Clinic/Center | 1505 Wigwam Pkwy # 241, Henderson, NV 89074-8194 | 2019-02-28 |
| 1649741935 | Activate Healthcare - Local 14 Henderson Clinic | Clinic/Center | 1505 Wigwam Pkwy Ste 241, Henderson, NV 89074-8194 | 2018-12-11 |
| 1306355318 | Green Valley Proactive Ritter Md PC | Clinic/Center | 121 Carnegie St, Henderson, NV 89074-7118 | 2017-09-21 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.