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BLUE 42 INC
NPI 1902500028
Clinic/Center - Community Health in Las Vegas, NV

Active since March 30, 2023
1230 W OWENS AVE STE 1, LAS VEGAS, NV 89106(775) 538-5104 Get Directions Write a Review

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2024, Mar 30, 2023 (2 updates tracked since 2023).

About Blue 42 Inc NPPES

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

BLUE 42 INC (NPI 1902500028) is a healthcare organization registered as a community health in Las Vegas, Nevada and active in the NPI registry since March 2023. The organization maintains a secondary practice location in Denver and lists Jshauntae Marshall, Director, as its authorized official.

NPPES Registry Identity

NPI1902500028
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameBLUE 42 INC
Location Address1230 W OWENS AVE STE 1Las Vegas, NV 89106-2451
Mailing Address8046 Pavarotti AveLas Vegas, NV 89178-8264 · (775) 538-5104
Phone(775) 538-5104
Organization SubpartNo
Authorized OfficialJshauntae MarshallDirector · (775) 538-5104
Enumeration DateMarch 30, 2023
Last NPPES UpdateJune 23, 20242 updates tracked since enumeration
NPPES CertifiedJune 23, 2024
✔ NPI 1902500028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · BirthingTaxonomy 261QB0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedDoulaTaxonomy 374J00000X
1230 W OWENS AVE STE 1, Las Vegas, NV 89106
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Secondary Practice Location 1

Location 11001 Bannock StDenver, CO 80204-4150 · Phone (719) 738-8078

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 3

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

ONE COMMUNITY OF SOUTHERN NEVADA
Community/Behavioral Health
1230 W OWENS AVE STE 1
LAS VEGAS, NV 89106
Clark County (203) 578-6478
JSHAUNTAE MARSHALL
Doula
1230 W OWENS AVE STE 1
LAS VEGAS, NV 89106
Clark County (725) 204-0850
LAS VEGAS WELLNESS COLLECTIVE LLC
Clinic/Center
1230 W OWENS AVE STE 1
LAS VEGAS, NV 89106
Clark County (702) 703-4881

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 Blue 42 Inc's NPI number?

The NPI number for Blue 42 Inc is 1902500028. It was assigned to this organization in the NPPES registry on March 30, 2023.

Where is Blue 42 Inc located?

Blue 42 Inc is located at 1230 W Owens Ave Ste 1, Las Vegas, NV 89106. The listed phone number is (775) 538-5104.

What is Blue 42 Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Blue 42 Inc was last updated on June 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.