JOHANNA S. FRICKE, M.D., LLC
NPI 1790108264
Pediatrics - Developmental - Behavioral Pediatrics in Las Vegas, NV

Active since February 03, 2014
311 N BUFFALO DR, SUITE B, LAS VEGAS, NV 89145(702) 877-2520(702) 877-2521 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johanna S. Fricke, M.d., Llc NPPES

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

JOHANNA S. FRICKE, M.D., LLC (NPI 1790108264) is a healthcare organization registered as a developmental - behavioral pediatrics in Las Vegas, Nevada and active in the NPI registry since February 2014. The organization lists Johanna Fricke, Physician/ceo, as its authorized official.

NPPES Registry Identity

NPI1790108264
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameJOHANNA S. FRICKE, M.D., LLC
Location Address311 N BUFFALO DR, SUITE BLas Vegas, NV 89145-0375
Mailing Address1300 Premier CtLas Vegas, NV 89117-7134 · (702) 804-9065 · Fax (702) 877-2521
Fax(702) 877-2521
Organization SubpartNo
Authorized OfficialJohanna FrickePhysician/ceo · (702) 804-9065
Enumeration DateFebruary 3, 2014
Last NPPES UpdateMarch 7, 2023
NPI 1790108264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
311 N BUFFALO DR, Las Vegas, NV 89145

Other Identifiers 4

Other32876NV · Medicare Id-type Unspecified/medicare
Medicaid002002223NV
OtherCS09750NV · State Pharmacy
Other003102223NV · Medicare Id-type Unspecified/nv Medicaid

Other Providers at the Same Location NPPES

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

Physical Therapist
311 N BUFFALO DR, SUITE C
LAS VEGAS, NV 89145

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 Johanna S. Fricke, M.D., LLC's NPI number?

The NPI number for Johanna S. Fricke, M.D., LLC is 1790108264. It was assigned to this organization in the NPPES registry on February 3, 2014.

Where is Johanna S. Fricke, M.D., LLC located?

Johanna S. Fricke, M.D., LLC is located at 311 N Buffalo Dr Suite B, Las Vegas, NV 89145. The listed phone number is (702) 877-2520.

What is Johanna S. Fricke, M.D., LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

When was this NPI record last updated?

The NPPES record for Johanna S. Fricke, M.D., LLC was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.