MEDICARE: NICKEA ADANA NIXON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1402313986	OTHER	NV	DL

General Provider Information

NPI Number	:	1477031946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICKEA ADANA NIXON

Provider Business Mailing Address
First Line	:	3050 S NELLIS BLVD APT 2142
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7773
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3050 S NELLIS BLVD APT 2142
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7773
Country	:	US
Telephone Number	:	702-659-2822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2018
Last Update Date	:	08/06/2018

Similar Medicare Providers

1891930244 — UNITED STATES AIR FORCE
Practice Location Address:

6501 VEGAS DR APT 1034
LAS VEGAS, NV
89108-7773

Practice Phone: 318-347-4651
Practice Fax:

1841183795 — INTEGRITY FAMILY PRACTICE LLC
Practice Location Address:

2880 E FLAMINGO RD STE F
LAS VEGAS, NV
89121-5223

Practice Phone: 702-960-4589
Practice Fax: 702-357-3998

1992528319 — JAKKIM SLADE
Practice Location Address:

2755 E DESERT INN RD STE 130
LAS VEGAS, NV
89121-3690

Practice Phone: 702-490-9009
Practice Fax: 866-737-9147

1639028087 — TAMI TAYLOR
Practice Location Address:

2832 E FLAMINGO RD
LAS VEGAS, NV
89121-5295

Practice Phone: 702-505-3270
Practice Fax:

1881982213 — KERI HAMBLY RBT
Practice Location Address:

2950 E ROCHELLE AVE STE B
LAS VEGAS, NV
89121-5301

Practice Phone: 702-789-7282
Practice Fax:

1730038001 — DR. ABIGAIL ELIZABETH LAVERDURE OTD, OTR/L
Practice Location Address:

3455 PECOS-MCLEOD INTERCONNECT
LAS VEGAS, NV
89121

Practice Phone: 702-790-6400
Practice Fax:

Directions to “ NICKEA ADANA NIXON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.