Forma Integrated Healthcare
NPI 1023964657 · Specialist · Las Vegas, NV
Provider details
- NPI number
- 1023964657
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ann Uganiza, Ceo(702) 531-4540
Specialties & taxonomies
Other Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
- Wound Care Registered Nurse163WW0000X
Nursing Service Providers
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-06
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.