BOULDER PRIMARY CARE INC.
NPI 1780059675
Nurse Practitioner - Primary Care in Boulder City, NV

Q: What is Boulder Primary Care Inc.'s NPI number?

The NPI number for Boulder Primary Care Inc. is 1780059675. It was assigned to this organization in the NPPES registry on December 3, 2015.

Q: What is Boulder Primary Care Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since December 03, 2015

1252 WYOMING ST, SUITE 200, BOULDER CITY, NV 89005(702) 293-4488(702) 293-4487 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Boulder Primary Care Inc. NPPES

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

BOULDER PRIMARY CARE INC. (NPI 1780059675) is a healthcare organization registered as a primary care in Boulder City, Nevada and active in the NPI registry since December 2015. The organization lists Marcia A Smith, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1780059675

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameBOULDER PRIMARY CARE INC.

Location Address1252 WYOMING ST, SUITE 200Boulder City, NV 89005-2745

Mailing Address1252 Wyoming St, Suite 200Boulder City, NV 89005-2745 · (702) 293-4488 · Fax (702) 293-4487

Phone(702) 293-4488

Fax(702) 293-4487

Organization SubpartNo

Authorized OfficialMarcia A SmithCorporate Secretary · (702) 293-4488

Enumeration DateDecember 3, 2015

✔ NPI 1780059675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

1252 WYOMING ST, Boulder City, NV 89005

Open in Google Maps ↗

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.

LAKE MOUNTAIN CHIROPRACTIC, INC

Chiropractor

1252 WYOMING ST
BOULDER CITY, NV 89005

Clark County (702) 293-4488

CAROLINE NICOLE CLAYPOOL APRN

Nurse Practitioner (Family)

1252 WYOMING ST
BOULDER CITY, NV 89005

Clark County (702) 293-4488

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 Boulder Primary Care Inc.'s NPI number?

The NPI number for Boulder Primary Care Inc. is 1780059675. It was assigned to this organization in the NPPES registry on December 3, 2015.

Where is Boulder Primary Care Inc. located?

Boulder Primary Care Inc. is located at 1252 Wyoming St Suite 200, Boulder City, NV 89005. The listed phone number is (702) 293-4488.

What is Boulder Primary Care Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Boulder Primary Care Inc. was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.