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ACTIVATE HEALTHCARE
NPI 1407481997
Clinic/Center in Las Vegas, NV

Active since March 05, 2020CLIA Certified · 2 labs
911 N BUFFALO DR UNIT 113, LAS VEGAS, NV 89128(702) 960-4415 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Feb 24, 2021, Mar 5, 2020 (3 updates tracked since 2020).

About Activate Healthcare NPPES

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

ACTIVATE HEALTHCARE (NPI 1407481997) is a healthcare organization registered as a clinic/center in Las Vegas, Nevada and active in the NPI registry since March 2020. The organization holds 2 active CLIA laboratory certificates and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1407481997
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address911 N BUFFALO DR UNIT 113Las Vegas, NV 89128-0380
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(702) 960-4415
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateMarch 5, 2020
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1407481997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
911 N BUFFALO DR UNIT 113, Las Vegas, NV 89128
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Other Names 1

Doing Business AsActivate Healthcare

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2159215

Activate Healthcare-Local 525 Buffalo Clinic · Las Vegas, NV
Active · expires Dec 12, 2026
CLIA Number29D2159215
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorKathleen T. Wagner
Laboratory Phone(702) 960-4441
Laboratory LocationActivate Healthcare-Local 525 Buffalo Clinic911 N Buffalo Dr Unit 113, Las Vegas, NV 89128
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2194566

Activate Healthcare-Ibew Local 357 Durango · Las Vegas, NV
Active · expires Sep 30, 2026
CLIA Number29D2194566
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorSolomon Lee
Laboratory Phone(704) 936-5546
Laboratory LocationActivate Healthcare-Ibew Local 357 Durango8053 N Durango Dr Ste 160, Las Vegas, NV 89131
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

REBECCA SEQUEIRA WILKINS FNP
Nurse Practitioner
911 N BUFFALO DR UNIT 113
LAS VEGAS, NV 89128
Clark County (702) 960-4441
ANGELA L. LORENZO, PA-C, LTD.
Clinic/Center (Primary Care)
911 N BUFFALO DR UNIT 113
LAS VEGAS, NV 89128
Clark County (702) 987-1555
EVERSIDE HEALTH, LLC
Clinic/Center (Health Service)
911 N BUFFALO DR UNIT 113
LAS VEGAS, NV 89128
Clark County (702) 960-4441
KATHERINE GAMBILL FNP-C
Nurse Practitioner (Family)
911 N BUFFALO DR UNIT 113
LAS VEGAS, NV 89128
Clark County (702) 960-4441
EVERSIDE HEALTH, LLC
Clinic/Center (Health Service)
911 N BUFFALO DR UNIT 113
LAS VEGAS, NV 89128
Clark County (773) 697-3144
EVERSIDE HEALTH, LLC
Clinic/Center (Health Service)
911 N BUFFALO DR UNIT 113
LAS VEGAS, NV 89128
Clark County (773) 697-3144
EVERSIDE HEALTH, LLC
Clinic/Center
911 N BUFFALO DR UNIT 113
LAS VEGAS, NV 89128
Clark County (702) 960-4415
ALEXANDER DAO
Family Medicine
911 N BUFFALO DR UNIT 113
LAS VEGAS, NV 89128
Clark County (702) 960-4441

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1407481997. It was assigned to this organization in the NPPES registry on March 5, 2020. The provider is doing business as Activate Healthcare.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 911 N Buffalo Dr Unit 113, Las Vegas, NV 89128. The listed phone number is (702) 960-4415.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Everside Health, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Everside Health, LLC was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.