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FACIAL EXPRESSIONS PRESENTED BY K. THOMAS NPI 1508409145


NPI Information

NPI: 1508409145
Provider Name: FACIAL EXPRESSIONS PRESENTED BY K. THOMAS

Doing Business As: FACIAL EXPRESSIONS MEDSPA & WELLNESS CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 29D2268665

Address:
1485 W WARM SPRINGS RD STE 109-B
HENDERSON, NV
ZIP 89014
Phone: (702) 482-9980
Get Directions

FACIAL EXPRESSIONS PRESENTED BY K. THOMAS is a multi-specialty clinic center in Henderson, NV. FACIAL EXPRESSIONS PRESENTED BY K. THOMAS NPI is 1508409145. The provider is registered as an organization entity type.
The provider Is Doing Business As Facial Expressions Medspa & Wellness Center.

The provider's business location address is:

1485 W WARM SPRINGS RD STE 109-B
HENDERSON, NV
ZIP 89014-631
Phone: (702) 482-9980

The provider's authorized official is Kenisha Thomas .
The authorized official title is Np/ Business Owner and has the following contact phone number (504) 610-5194.

The CLIA number assigned to this NPI record is 29D2268665 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2019 and was last updated on 12/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251F00000XHome InfusionNo
2261Q00000XClinic/CenterNo
3261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11609359165MEDICAIDCALIFORNIA
2250006009MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.