JOHANNA S. FRICKE, M.D., LLC – Developmental - Behavioral Pediatrics Physician, NPI 1790108264

JOHANNA S. FRICKE, M.D., LLC is a healthcare provider. based in Las vegas, Nevada. specializing in Developmental - Behavioral Pediatrics Physician. The NPI Number for JOHANNA S. FRICKE, M.D., LLC is 1790108264

Main info

Organization
Name
JOHANNA S. FRICKE, M.D., LLC
NPI
1790108264
Phone
(702) 804-9065
Address
1300 PREMIER CT
Authorized Official
DR. JOHANNA FRICKE PHYSICIAN/CEO M.D.
Enumeration Date
3 February 2014
Last Update Date
7 March 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for JOHANNA S. FRICKE, M.D., LLC

  • 1300 PREMIER CT

    LAS VEGAS, NV 891177134

    Phone: (702) 804-9065

    Fax: (702) 877-2521

    Type: Mailing

  • 311 N BUFFALO DR

    SUITE B

    LAS VEGAS, NV 891450375

    Phone: (702) 877-2520

    Fax: (702) 877-2521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89117)

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Reviews

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Frequently asked questions

Is JOHANNA S. FRICKE, M.D., LLC listed with a National Provider Identifier?
Yes — JOHANNA S. FRICKE, M.D., LLC has NPI 1790108264 on file in the registry.
Is JOHANNA S. FRICKE, M.D., LLC still an active registrant?
JOHANNA S. FRICKE, M.D., LLC carries an active NPI according to the public dataset.
How would a patient describe JOHANNA S. FRICKE, M.D., LLC's focus?
For JOHANNA S. FRICKE, M.D., LLC, the primary taxonomy reads as Developmental - Behavioral Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Is JOHANNA S. FRICKE, M.D., LLC associated with Las Vegas?
Public fields place JOHANNA S. FRICKE, M.D., LLC around Las Vegas, Nevada. Always confirm the exact site before visiting.
Does JOHANNA S. FRICKE, M.D., LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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