SALTY LIGHT LLC
NPI 1912898701
Family Medicine in Henderson, NV
About Salty Light Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALTY LIGHT LLC (NPI 1912898701), doing business as Salt & Light Medical Center, is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since July 2025. The organization lists Heather Clawson, Office Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Salty Light Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Salty Light LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Salty Light LLC's NPI number?
The NPI number for Salty Light LLC is 1912898701. It was assigned to this organization in the NPPES registry on July 10, 2025. The provider is doing business as Salt & Light Medical Center.
Where is Salty Light LLC located?
Salty Light LLC is located at 1477 E Lake Mead Pkwy Ste 130, Henderson, NV 89015. The listed phone number is (725) 726-2364.
What is Salty Light LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Salty Light LLC enrolled in Medicare?
Yes. Salty Light LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Salty Light LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Salty Light 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Salty Light LLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Salty Light Llc · NPI 1912898701
Family Medicine organization in Henderson, Nevada. Organization record, active in the CMS NPPES registry since July 10, 2025.
## Identity
- **NPI:** 1912898701 (Entity type: Organization)
- **Enumerated:** July 10, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Salt & Light Medical Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Heather Clawson, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 1477 E LAKE MEAD PKWY STE 130, Henderson, NV 89015-4647
- **Phone:** (725) 726-2364
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Orthopedic Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912898701) · Data from the CMS NPPES public registry.