Innovative Mt LLC
NPI 1184147712 · Family Nurse Practitioner · Las Vegas, NV
Innovative Mt LLC is a Family Nurse Practitioner organization in Las Vegas, NV (NPI 1184147712).
Provider details
- NPI number
- 1184147712
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kenneth Tam, Practice Manager(702) 706-2804
- License
- APRN002484 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES 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
- 2017-07-25
- Last updated
- 2022-07-21
Frequently asked questions
- What is Innovative Mt LLC's NPI number?
- Innovative Mt LLC's National Provider Identifier (NPI) is 1184147712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Mt LLC?
- Innovative Mt LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Innovative Mt LLC located?
- Innovative Mt LLC's practice location on file with NPPES is 7395 Desertscape Ave, Las Vegas, NV 89178-8800.
- What is Innovative Mt LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Mt LLC is (702) 706-2804.
- Who is the authorized official for Innovative Mt LLC?
- The authorized official listed on Innovative Mt LLC's NPPES record is Kenneth Tam, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Mt LLC's NPI active?
- Yes — Innovative Mt LLC's NPI (1184147712) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.