LAS VEGAS KETAMINE LLC
NPI 1710696877
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

NPI Status: Active since November 17, 2022

Contact Information

7390 W SAHARA AVE STE 270
LAS VEGAS, NV
ZIP 89117
Phone: (702) 957-0468

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About LAS VEGAS KETAMINE LLC

This page provides the complete NPI Profile along with additional information for Las Vegas Ketamine Llc, a provider established in Las Vegas, Nevada operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1710696877 assigned on November 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated May 2026. Las Vegas Ketamine Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Adam C Fisher (Owner/manager)

NPI
1710696877
Provider Name
LAS VEGAS KETAMINE LLC
Entity Type
Organization
Location Address
7390 W SAHARA AVE STE 270 LAS VEGAS, NV 89117
Location Phone
(702) 957-0468
Mailing Address
5519 BRUIN LAKES ST LAS VEGAS, NV 89131
Mailing Phone
(229) 412-5844
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2022
Last Update Date
05-22-2026
Code Navigator

A nurse practitioner (NP) like Las Vegas Ketamine Llc 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 Psychiatric/Mental Health

Taxonomy Code
363LP0808X
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)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADAM C FISHER

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(229) 412-5844

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1407158694OTHER (01)TRICARE WEST

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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 1710696877, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 2 + 9 + 1 + 2 + 8 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1710696877.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Community/Behavioral Health
7390 W SAHARA AVE STE 270
LAS VEGAS, NV 89117
Anesthesiology
7390 W SAHARA AVE STE 270
LAS VEGAS, NV 89117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710696877, enumerated as an "organization" on November 17, 2022.

The provider is located at 7390 W SAHARA AVE STE 270 LAS VEGAS, NV 89117 and the phone number is (702) 957-0468.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Tricare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.