HUNTRIDGE TEEN CLINIC
NPI 1407219611
Nurse Practitioner - Community Health in Las Vegas, NV
NPI Status: Active since April 04, 2016
Contact Information
2100 S MARYLAND PKWY
SUITE 1
LAS VEGAS, NV
ZIP 89104
Phone: (702) 732-8776
Fax: (702) 369-2162
- Organization
- Nurse Practitioner
- Community Health
- CLIA Number: 29D2057303
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 04-11-2027
About HUNTRIDGE TEEN CLINIC
This page provides the complete NPI Profile along with additional information for Huntridge Teen Clinic, a provider established in Las Vegas, Nevada operating as a Nurse Practitioner, focusing in community health . The healthcare provider is registered in the NPI registry with number 1407219611 assigned on April 2016. The practitioner's primary taxonomy code is 363LC1500X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Huntridge Teen Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Huntridge Teen Clinic. The authorized official of this NPI record is Mrs. Roxana Valeton (Ceo)
- NPI
- 1407219611
- Provider Legal Name
- FIRST PERSON CARE CLINIC
- Other Organization Name
- HUNTRIDGE TEEN CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2100 S MARYLAND PKWY SUITE 1 LAS VEGAS, NV 89104
- Location Phone
- (702) 732-8776
- Location Fax
- (702) 369-2162
- Mailing Address
- 2100 S MARYLAND PKWY SUITE 1 LAS VEGAS, NV 89104
- Mailing Phone
- (702) 732-8776
- Mailing Fax
- (702) 369-2162
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2016
- Last Update Date
- 09-07-2017
- Code Navigator
A nurse practitioner (NP) like Huntridge Teen Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Community Health
- Taxonomy Code
- 363LC1500X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 1041S0200X | Behavioral Health & Social Service Providers | Social Worker | |
| 5 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 6 | 364SC1501X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | |
| 7 | 364SP0810X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2057303
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- April 12, 2025
- Certificate Expiration Date
- April 11, 2027
- Laboratory Director
- AMISH PUROHIT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Huntridge Teen Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407219611, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407219611, enumerated as an "organization" on April 04, 2016.
The provider is located at 2100 S MARYLAND PKWY SUITE 1 LAS VEGAS, NV 89104 and the phone number is (702) 732-8776.
Nurse Practitioner with taxonomy code 363LC1500X and a focus in Community Health.
