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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

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: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2026, Jul 23, 2026, Jun 9, 2025 (3 updates tracked since 2025).

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 · (725) 527-7307 · Fax (702) 857-6042
Phone(702) 670-0280
Organization SubpartNo
Authorized OfficialAkisha ToussaintManaging Member · (725) 527-7307
Enumeration DateJune 9, 2025
Last NPPES UpdateSeptember 27, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 27, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kietre Medical And Behavioral Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kietre Medical And Behavioral Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Akisha Toussaint, PMHNP
Nurse Practitioner
NPI 1760026736
5710 SIMMONS ST STE 3
North Las Vegas, NV 89031
(725) 527-7307
✔ PECOS✔ Accepts Medicare2.2 mi
Christianah Sutton, FNP - C
Nurse Practitioner
NPI 1356938716
4903 VEGAS DR
Las Vegas, NV 89108
(702) 998-1200
✔ PECOS6.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Kietre Medical And Behavioral Clinic enrolled in Medicare?

Yes. Kietre Medical And Behavioral Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kietre Medical And Behavioral Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Kietre Medical And Behavioral Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kietre Medical And Behavioral Clinic was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.