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DEANDRE NICHOLS
NPI 1013372663
Rehabilitation Practitioner in North Las Vegas, NV

Active since December 28, 2015
3755 W LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89032(702) 487-5665 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deandre Nichols NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANDRE NICHOLS (NPI 1013372663) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1013372663
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameDEANDRE NICHOLS
Location Address3755 W LAKE MEAD BLVDNorth Las Vegas, NV 89032-4897
Mailing Address4325 W Rome Blvd, Apt #2014North Las Vegas, NV 89084-5497 · (323) 649-7196
Phone(702) 487-5665
Sole ProprietorNo
Enumeration DateDecember 28, 2015
✔ NPI 1013372663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3755 W LAKE MEAD BLVD, North Las Vegas, NV 89032
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY LANGEVIN
Counselor
3755 W LAKE MEAD BLVD
N LAS VEGAS, NV 89032
Clark County (702) 487-5665
HELP OF SOUTHERN NEVADA
Substance Abuse Rehabilitation Facility
3755 W LAKE MEAD BLVD
N LAS VEGAS, NV 89032
Clark County (702) 369-4357
MARISSA SMALL
Counselor
3755 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 541-5057
TASHA MARIE FIELDS
Counselor (Mental Health)
3755 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 487-5665
TASHA MICKENS
Case Manager/Care Coordinator
3755 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 487-5665
PATRICE LEWIS
Technician (Personal Care Attendant)
3755 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 354-8917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deandre Nichols's NPI number?

The NPI number for Deandre Nichols is 1013372663. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Deandre Nichols located?

Deandre Nichols practices at 3755 W Lake Mead Blvd, North Las Vegas, NV 89032. The listed phone number is (702) 487-5665.

What is Deandre Nichols's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Deandre Nichols was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.