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BAMBOO FAMILY CLINIC LLC
NPI 1881196012
Pediatrics in Henderson, NV

Active since March 03, 2018
98 E LAKE MEAD PKWY STE 307, HENDERSON, NV 89015(702) 433-3038(702) 949-1975 Get Directions Write a Review

NPPES record last updated: March 3, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bamboo Family Clinic Llc NPPES

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

BAMBOO FAMILY CLINIC LLC (NPI 1881196012) is a healthcare organization registered as a pediatrics in Henderson, Nevada and active in the NPI registry since March 2018. The organization lists Shirley Holdeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1881196012
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBAMBOO FAMILY CLINIC LLC
Location Address98 E LAKE MEAD PKWY STE 307Henderson, NV 89015-6444
Mailing AddressPo Box 13603Las Vegas, NV 89112-1603 · (702) 433-3038
Phone(702) 433-3038
Fax(702) 949-1975
Organization SubpartNo
Authorized OfficialShirley HoldemanOwner · (702) 433-3038
Enumeration DateMarch 3, 2018
✔ NPI 1881196012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
98 E LAKE MEAD PKWY STE 307, Henderson, NV 89015
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bamboo Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Bamboo Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Kachirri Gunn, PMHNP-BC
Nurse Practitioner
NPI 1376336180
98 E LAKE MEAD PKWY STE 307
Henderson, NV 89015
(702) 433-3038
✔ PECOS✔ Accepts MedicareSame address
Maricel Leppala, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1255038451
98 E LAKE MEAD PKWY STE 307
Henderson, NV 89015
(702) 280-2970
✔ PECOS✔ Accepts MedicareSame address
Sophia Mckamey, MSN, FNP-C
Nurse Practitioner
NPI 1386495497
98 E LAKE MEAD PKWY
Henderson, NV 89015
(702) 483-2969
✔ PECOS✔ Accepts MedicareSame address
Jenna Lopez, FNP-C
Nurse Practitioner
NPI 1255903498
98 E LAKE MEAD PKWY
Henderson, NV 89015
(702) 483-2969
✔ PECOS✔ Accepts MedicareSame address
Conner Grimes, APRN
Nurse Practitioner
NPI 1417827460
98 E LAKE MEAD PKWY
Henderson, NV 89015
(702) 483-2969
✔ PECOS✔ Accepts MedicareSame address
Marvina Butler, FNP-C
Nurse Practitioner
NPI 1427561091
188 MAY PARK AVE
Henderson, NV 89011
(910) 670-1701
✔ PECOS2.0 mi
Marilyn Tuiasosopo, FNP-C, FNP-BC
Nurse Practitioner
NPI 1629733704
2586 VELEZ VALLEY WAY
Henderson, NV 89002
(808) 457-2456
✔ PECOS✔ Accepts Medicare4.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bamboo Family Clinic LLC's NPI number?

The NPI number for Bamboo Family Clinic LLC is 1881196012. It was assigned to this organization in the NPPES registry on March 3, 2018.

Where is Bamboo Family Clinic LLC located?

Bamboo Family Clinic LLC is located at 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015. The listed phone number is (702) 433-3038.

What is Bamboo Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bamboo Family Clinic LLC enrolled in Medicare?

Yes. Bamboo Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bamboo Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bamboo Family Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bamboo Family Clinic LLC accept?

Health plans from Molina Healthcare list Bamboo Family Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bamboo Family Clinic LLC was last updated on March 3, 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.