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DR. JUDE NIBA
NPI 1821586512
Psychologist - Exercise & Sports in Las Vegas, NV

Active since April 27, 2018
9082 VINTAGE WINE AVE, LAS VEGAS, NV 89148(170) 232-8045 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Apr 27, 2018 (2 updates tracked since 2018).

About Dr. Jude Niba NPPES

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

DR. JUDE NIBA (NPI 1821586512) is an individual exercise & sports provider in Las Vegas, Nevada, licensed in Nevada (667) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1821586512
Entity TypeIndividualMale
Primary Taxonomy103TE1100X
Provider Legal NameDR. JUDE NIBA
Location Address9082 VINTAGE WINE AVELas Vegas, NV 89148
Mailing Address9082 Vintage Wine AveLas Vegas, NV 89148-4916 · (170) 232-8045
Phone(170) 232-8045
Sole ProprietorNo
Enumeration DateApril 27, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1821586512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
License✔ Licensed in NV · 667
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
9082 VINTAGE WINE AVE, Las Vegas, NV 89148
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Other Identifiers 1

Other667Association For Applied Sport Psychology

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.

COMMUNITY YOUTH INTERALIA
Psychologist (Exercise & Sports)
9082 VINTAGE WINE AVE
LAS VEGAS, NV 89148
Clark County (702) 328-0459
SEAO INTERALIA
Non-emergency Medical Transport (VAN)
9082 VINTAGE WINE AVE
LAS VEGAS, NV 89148
Clark County (702) 831-0363

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 Jude Niba's NPI number?

The NPI number for Jude Niba is 1821586512. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Jude Niba located?

Jude Niba practices at 9082 Vintage Wine Ave, Las Vegas, NV 89148. The listed phone number is (170) 232-8045.

What is Jude Niba's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for Jude Niba was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.