Johanna S. Fricke, M.D., LLC
NPI 1790108264 · Developmental - Behavioral Pediatrics Physician · Las Vegas, NV
Johanna S. Fricke, M.D., LLC is a Developmental - Behavioral Pediatrics Physician organization in Las Vegas, NV (NPI 1790108264).
Provider details
- NPI number
- 1790108264
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johanna Fricke, Physician/Ceo(702) 804-9065
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-02-03
- Last updated
- 2023-03-07
Frequently asked questions
- What is Johanna S. Fricke, M.D., LLC's NPI number?
- Johanna S. Fricke, M.D., LLC's National Provider Identifier (NPI) is 1790108264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johanna S. Fricke, M.D., LLC?
- Johanna S. Fricke, M.D., LLC is classified in the NPPES registry as Developmental - Behavioral Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Johanna S. Fricke, M.D., LLC located?
- Johanna S. Fricke, M.D., LLC's practice location on file with NPPES is 311 N Buffalo Dr, Las Vegas, NV 89145-0375.
- What is Johanna S. Fricke, M.D., LLC's phone number?
- The practice phone number listed in the NPPES registry for Johanna S. Fricke, M.D., LLC is (702) 877-2520.
- Who is the authorized official for Johanna S. Fricke, M.D., LLC?
- The authorized official listed on Johanna S. Fricke, M.D., LLC's NPPES record is Johanna Fricke, Physician/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johanna S. Fricke, M.D., LLC's NPI active?
- Yes — Johanna S. Fricke, M.D., LLC's NPI (1790108264) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.