Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johanna S. Fricke, MD, LLC

Organization Developmental - Behavioral Pediatrics Physician · NPI 1790108264

Johanna S. Fricke, MD, LLC is a Developmental - Behavioral Pediatrics Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2014.

Licensed in
NV
In the registry since
2014
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

311 N Buffalo Dr Ste B
Las Vegas, NV 89145-0375
Phone: (702) 877-2520
Fax: (702) 877-2521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X (NV)
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X (NV)
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X (NV)
Medical Specialty Clinic/Center Taxonomy 261QM2500X (NV)

Record details

NPI number1790108264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johanna Fricke — Physician/Ceo · (702) 804-9065
NPI enumeratedFebruary 3, 2014
Last updated in NPPESMarch 7, 2023
Mailing address1300 Premier Ct, Las Vegas, NV 89117-7134

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