Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIETRE MEDICAL AND BEHAVIORAL CLINIC
NPI 1194619619
Nurse Practitioner in N Las Vegas, NV

Q: What is Kietre Medical And Behavioral Clinic's NPI number?

The NPI number for Kietre Medical And Behavioral Clinic is 1194619619. It was assigned to this organization in the NPPES registry on June 9, 2025.

Q: What is Kietre Medical And Behavioral Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 09, 2025

17 SUMMIT CREEK AVE, N LAS VEGAS, NV 89031(702) 670-0280 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Jun 9, 2025 (2 updates tracked since 2025).

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About Kietre Medical And Behavioral Clinic NPPES

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

KIETRE MEDICAL AND BEHAVIORAL CLINIC (NPI 1194619619) is a healthcare organization registered as a nurse practitioner in N Las Vegas, Nevada and active in the NPI registry since June 2025. The organization lists Akisha Toussaint, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1194619619

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameKIETRE MEDICAL AND BEHAVIORAL CLINIC

Location Address17 SUMMIT CREEK AVEN Las Vegas, NV 89031-6856

Mailing Address17 Summit Creek AveN Las Vegas, NV 89031-6856 · (702) 670-0280

Phone(702) 670-0280

Organization SubpartNo

Authorized OfficialAkisha ToussaintManaging Member · (702) 670-0280

Enumeration DateJune 9, 2025

Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1194619619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

17 SUMMIT CREEK AVE, N Las Vegas, NV 89031

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kietre Medical And Behavioral Clinic's NPI number?

The NPI number for Kietre Medical And Behavioral Clinic is 1194619619. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Kietre Medical And Behavioral Clinic located?

Kietre Medical And Behavioral Clinic is located at 17 Summit Creek Ave, N Las Vegas, NV 89031. The listed phone number is (702) 670-0280.

What is Kietre Medical And Behavioral Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kietre Medical And Behavioral Clinic was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.