CHANGING MINDS MEDICINE LLC
NPI 1205455961
Nurse Practitioner - Family in Henderson, NV

Active since April 13, 2020
2960 W HORIZON RIDGE PKWY, HENDERSON, NV 89052(702) 405-8088(702) 405-6066 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changing Minds Medicine Llc NPPES

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

CHANGING MINDS MEDICINE LLC (NPI 1205455961) is a healthcare organization registered as a family in Henderson, Nevada and active in the NPI registry since April 2020. The organization lists Jamie Brown, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1205455961
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHANGING MINDS MEDICINE LLC
Location Address2960 W HORIZON RIDGE PKWYHenderson, NV 89052-4666
Mailing AddressPo Box 752003Las Vegas, NV 89136-2003 · (702) 405-8088 · Fax (702) 405-6066
Fax(702) 405-6066
Organization SubpartNo
Authorized OfficialJamie BrownBusiness Manager · (702) 405-8088
Enumeration DateApril 13, 2020
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1205455961 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
2960 W HORIZON RIDGE PKWY, Henderson, NV 89052

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

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Community Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Psychiatry & Neurology (Psychiatry)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Social Worker (Clinical)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Nurse Practitioner (Psychiatric/Mental Health)
2960 W HORIZON RIDGE PKWY
HENDERSON, NV 89052

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 Changing Minds Medicine LLC's NPI number?

The NPI number for Changing Minds Medicine LLC is 1205455961. It was assigned to this organization in the NPPES registry on April 13, 2020.

Where is Changing Minds Medicine LLC located?

Changing Minds Medicine LLC is located at 2960 W Horizon Ridge Pkwy, Henderson, NV 89052. The listed phone number is (702) 405-8088.

What is Changing Minds Medicine LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Changing Minds Medicine LLC was last updated on January 30, 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.