HUNTRIDGE FAMILY CLINIC
NPI 1134553068
Nurse Practitioner - Family in Las Vegas, NV

Q: What is John Phoenix Aprn PLLC's NPI number?

The NPI number for John Phoenix Aprn PLLC is 1134553068. It was assigned to this organization in the NPPES registry on August 28, 2013. The provider is also known as Huntridge Family Clinic.

Q: What is John Phoenix Aprn PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 28, 2013

2000 S EASTERN AVE STE R, LAS VEGAS, NV 89104(702) 523-9025(775) 310-9190 Get Directions Write a Review

NPPES record last updated: August 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2024, Jul 22, 2024, Jun 17, 2020 (3 updates tracked since 2020).

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About Huntridge Family Clinic NPPES

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

HUNTRIDGE FAMILY CLINIC (NPI 1134553068) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since August 2013. The organization lists John R Phoenix, Owner, as its authorized official.

NPPES Registry Identity

NPI1134553068

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameJOHN PHOENIX APRN PLLC

Location Address2000 S EASTERN AVE STE RLas Vegas, NV 89104-4100

Mailing Address1909 Cochran StLas Vegas, NV 89104-3538 · (702) 523-9025 · Fax (775) 310-9190

Phone(702) 523-9025

Fax(775) 310-9190

Organization SubpartNo

Authorized OfficialJohn R PhoenixOwner · (702) 523-9025

Enumeration DateAugust 28, 2013

Last NPPES UpdateAugust 3, 20243 updates tracked since enumeration

NPPES CertifiedAugust 3, 2024

✔ NPI 1134553068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · APRN001359

2000 S EASTERN AVE STE R, Las Vegas, NV 89104

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Other Names 1

Other NameHuntridge Family Clinic

Other Identifiers 1

Medicaid100534176NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Medica.Insurance ›

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 John Phoenix Aprn PLLC's NPI number?

The NPI number for John Phoenix Aprn PLLC is 1134553068. It was assigned to this organization in the NPPES registry on August 28, 2013. The provider is also known as Huntridge Family Clinic.

Where is John Phoenix Aprn PLLC located?

John Phoenix Aprn PLLC is located at 2000 S Eastern Ave Ste R, Las Vegas, NV 89104. The listed phone number is (702) 523-9025.

What is John Phoenix Aprn PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does John Phoenix Aprn PLLC accept?

Health plans from Ambetter from Arizona Complete Health and Medica list John Phoenix Aprn PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Phoenix Aprn PLLC was last updated on August 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.