BEAUTIFUL MINDS MENTAL HEALTH AND PRIMARY CARE CLINIC (NPI# 1871191726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871191726 |
| Entity Type | Organization |
| Organization Name | BEAUTIFUL MINDS MENTAL HEALTH AND PRIMARY CARE CLINIC |
| Practice Address |
3550 W Cheyenne Ave Ste 100-130 North Las Vegas NV 89032-8212 |
| Practice Telephone | 7023311917 |
| Practice Fax Number | 7023315219 |
| Mailing Telephone | 7023311917 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | LASHANDIA BINION (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7023311917 |
| Authorized Official Credential | CADC-I |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAUTIFUL MINDS BEHAVIORAL HEALTH FACILITY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Beautiful Minds Behavioral Health Facility LLC. | Other Name - Individual/Organization |
| Beautiful Minds Mental Health and Primary Care Clinic | Doing Business As Name - Organization |
| Street Address |
3550 W CHEYENNE AVE STE 100-130 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-8212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386100154 | April Paxton-johnson | Nurse Practitioner | 4040 N Mlk Blvd Ste A, North Las Vegas, NV 89032-3205 | 2019-02-15 |
| 1831613025 | Brenda Gaile Primero | Nurse Practitioner | 5105 Camino Al Norte Ste 100, North Las Vegas, NV 89031-2373 | 2017-07-28 |
| 1336750736 | Jamie Gail Lewis | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-08-11 |
| 1598380958 | Irlonda Poindexter | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2020-06-11 |
| 1255831384 | Alexandra Allen | Nurse Practitioner | 6900 N Pecos Rd, North Las Vegas, NV 89086-4400 | 2018-02-15 |
| 1023568037 | Meilan L Daguman Aprn Pllc | Nurse Practitioner | 2842 E Lake Mead Blvd, North Las Vegas, NV 89030-6548 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1821619867 | Instadoctor LLC | Nurse Practitioner | 6280 S Valley View Blvd Ste 736, Las Vegas, NV 89118-6833 | 2020-04-30 |
| 1780205823 | Diao Np Pllc | Nurse Practitioner | 8972 Frasure Falls Ave, Las Vegas, NV 89178-7215 | 2020-04-29 |
| 1730713611 | Saint Jude Medical Group LLC Home Doctors | Nurse Practitioner | 4412 W Charleston Blvd Ste B, Las Vegas, NV 89102-1636 | 2020-02-28 |
| 1821620469 | Camatchy Radjassegarane | Nurse Practitioner | 2653 Bad Rock Cir, Henderson, NV 89052-1000 | 2020-02-11 |
| 1184274037 | Jocybel Itorralba | Nurse Practitioner | 2440 Professional Ct Ste 110, Las Vegas, NV 89128-0839 | 2019-09-12 |
| 1679121958 | Priority Health System LLC | Nurse Practitioner | 2655 S Rainbow Blvd Ste 410, Las Vegas, NV 89146-5100 | 2019-08-29 |
| 1386205052 | Rhia Joy Lumanog Dizon | Nurse Practitioner | 7003 Tidelands Park Ct, Las Vegas, NV 89166-7132 | 2019-06-24 |
| 1184284283 | Brianemmanuel Amat Del Rosario | Nurse Practitioner | 7350 W Centennial Pkwy Unit 2008, Las Vegas, NV 89131-1646 | 2019-06-19 |
| 1467912386 | Shannon Lee Latham | Nurse Practitioner | 801 S Rancho Dr Ste F1, Las Vegas, NV 89106-3814 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on BEAUTIFUL MINDS MENTAL HEALTH AND PRIMARY CARE CLINIC.
| 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.