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GWENDOLYN IVY
NPI 1053962522
Registered Nurse - Psychiatric/Mental Health in Las Vegas, NV

Active since September 25, 2019
5412 BOULDER HWY, LAS VEGAS, NV 89122(702) 291-7121 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gwendolyn Ivy NPPES

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

GWENDOLYN IVY (NPI 1053962522) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (812191) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1053962522
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameGWENDOLYN IVY
Location Address5412 BOULDER HWYLas Vegas, NV 89122-6039
Mailing Address9623 Bighorn Ranch AveLas Vegas, NV 89148-4221 · (773) 656-1525
Phone(702) 291-7121
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
✔ NPI 1053962522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in NV · 812191
5412 BOULDER HWY, Las Vegas, NV 89122
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Other Providers at the Same Location NPPES 20

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

JULIA HARO
Counselor (Professional)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
MRS. IRENE KILCULLEN
Case Manager/Care Coordinator
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
MEDTRANS LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
KATELYN LOPEZ LMFT
Marriage & Family Therapist
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
HANNAH NICOLE SCHWEINFURTH
Assistant Behavior Analyst
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 526-7959
MEDTRANS, LLC
Family Medicine
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
EBONY HARTWELL
Counselor (Mental Health)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 291-7121
CHERAN DIZON RN
Registered Nurse (Psychiatric/Mental Health)
5412 BOULDER HWY
LAS VEGAS, NV 89122
Clark County (702) 824-0318

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 Gwendolyn Ivy's NPI number?

The NPI number for Gwendolyn Ivy is 1053962522. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Gwendolyn Ivy located?

Gwendolyn Ivy practices at 5412 Boulder Hwy, Las Vegas, NV 89122. The listed phone number is (702) 291-7121.

What is Gwendolyn Ivy's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Ivy was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.