702 FAMILY PRACTICE LLC
NPI 1548085491
Nurse Practitioner - Family in Las Vegas, NV

Active since November 16, 2024
3468 E SAHARA AVE STE 160, LAS VEGAS, NV 89104(702) 389-5700 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Nov 16, 2024 (2 updates tracked since 2024).

About 702 Family Practice Llc NPPES

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

702 FAMILY PRACTICE LLC (NPI 1548085491) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since November 2024. The organization lists Iredila Timagos Bynum, Owner, as its authorized official.

NPPES Registry Identity

NPI1548085491
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business Name702 FAMILY PRACTICE LLC
Location Address3468 E SAHARA AVE STE 160Las Vegas, NV 89104-4827
Mailing Address3468 E Sahara Ave Ste 160Las Vegas, NV 89104-4827 · (702) 389-5700
Organization SubpartNo
Authorized OfficialIredila Timagos BynumOwner · (702) 389-5700
Enumeration DateNovember 16, 2024
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1548085491 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
3468 E SAHARA AVE STE 160, Las Vegas, NV 89104

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 4

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

Community/Behavioral Health
3468 E SAHARA AVE STE 160
LAS VEGAS, NV 89104
Rehabilitation Practitioner
3468 E SAHARA AVE STE 160
LAS VEGAS, NV 89104
Psychiatry & Neurology (Psychiatry)
3468 E SAHARA AVE STE 160
LAS VEGAS, NV 89104
Behavior Technician
3468 E SAHARA AVE STE 160
LAS VEGAS, NV 89104

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 702 Family Practice LLC's NPI number?

The NPI number for 702 Family Practice LLC is 1548085491. It was assigned to this organization in the NPPES registry on November 16, 2024.

Where is 702 Family Practice LLC located?

702 Family Practice LLC is located at 3468 E Sahara Ave Ste 160, Las Vegas, NV 89104. The listed phone number is (702) 389-5700.

What is 702 Family Practice 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 702 Family Practice LLC was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.