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

Active since November 17, 2022
7390 W SAHARA AVE STE 270, LAS VEGAS, NV 89117(702) 957-0468 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2026, Mar 6, 2025, Feb 28, 2025 and 1 more (4 updates tracked since 2022).

About Las Vegas Ketamine Llc NPPES

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

LAS VEGAS KETAMINE LLC (NPI 1710696877) is a healthcare organization registered as a psychiatric/mental health in Las Vegas, Nevada and active in the NPI registry since November 2022. The organization lists Adam C Fisher, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1710696877
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAS VEGAS KETAMINE LLC
Location Address7390 W SAHARA AVE STE 270Las Vegas, NV 89117-2765
Mailing Address5519 Bruin Lakes StLas Vegas, NV 89131-5921 · (229) 412-5844
Phone(702) 957-0468
Organization SubpartNo
Authorized OfficialAdam C FisherOwner/manager · (229) 412-5844
Enumeration DateNovember 17, 2022
Last NPPES UpdateMay 22, 20264 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1710696877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedAnesthesiologyTaxonomy 207L00000X
7390 W SAHARA AVE STE 270, Las Vegas, NV 89117
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Other Identifiers 1

Other1407158694Tricare West

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 2

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

JD BEHAVIORAL SERVICES, LLC
Community/Behavioral Health
7390 W SAHARA AVE STE 270
LAS VEGAS, NV 89117
Clark County (760) 267-8124
RICHARD J BENNETT MD
Anesthesiology
7390 W SAHARA AVE STE 270
LAS VEGAS, NV 89117
Clark County (970) 396-3089

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 Las Vegas Ketamine LLC's NPI number?

The NPI number for Las Vegas Ketamine LLC is 1710696877. It was assigned to this organization in the NPPES registry on November 17, 2022.

Where is Las Vegas Ketamine LLC located?

Las Vegas Ketamine LLC is located at 7390 W Sahara Ave Ste 270, Las Vegas, NV 89117. The listed phone number is (702) 957-0468.

What is Las Vegas Ketamine LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Las Vegas Ketamine LLC was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.