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DIVINE WELLNESS LAS VEGAS
NPI 1811849383
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since February 09, 2026
6960 OBANNON DR STE 110, LAS VEGAS, NV 89117(702) 292-4073 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Wellness Las Vegas NPPES

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

DIVINE WELLNESS LAS VEGAS (NPI 1811849383) is a healthcare organization registered as a psychiatric/mental health in Las Vegas, Nevada and active in the NPI registry since February 2026. The organization lists Stephen Gist, Owner, as its authorized official.

NPPES Registry Identity

NPI1811849383
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDIVINE WELLNESS LAS VEGAS
Location Address6960 OBANNON DR STE 110Las Vegas, NV 89117-2160
Mailing Address6960 Obannon Dr Ste 110Las Vegas, NV 89117-2160 · (702) 292-4073
Phone(702) 292-4073
Organization SubpartNo
Authorized OfficialStephen GistOwner · (702) 292-4073
Enumeration DateFebruary 9, 2026
Last NPPES UpdateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1811849383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
6960 OBANNON DR STE 110, Las Vegas, NV 89117
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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

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 Divine Wellness Las Vegas's NPI number?

The NPI number for Divine Wellness Las Vegas is 1811849383. It was assigned to this organization in the NPPES registry on February 9, 2026.

Where is Divine Wellness Las Vegas located?

Divine Wellness Las Vegas is located at 6960 Obannon Dr Ste 110, Las Vegas, NV 89117. The listed phone number is (702) 292-4073.

What is Divine Wellness Las Vegas'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 Divine Wellness Las Vegas was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.