Healthcare Provider Details

I. General information

NPI: 1437976768
Provider Name (Legal Business Name): FELISHA FIKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9005 W OQUENDO RD APT 3049
LAS VEGAS NV
89148-1524
US

IV. Provider business mailing address

9005 W OQUENDO RD APT 3089
LAS VEGAS NV
89148-1526
US

V. Phone/Fax

Practice location:
  • Phone: 702-344-4955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT5646
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: