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

Kintsugi Care LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1639001167

Kintsugi Care LLC is a Psychiatric/Mental Health Nurse Practitioner in Henderson, Nevada. Registered with an NPI since 2026.

In the registry since
2026
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

10120 S Eastern Ave Ste 130
Henderson, NV 89052-3953
Phone: (775) 269-2626
Fax: (702) 940-4063
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1639001167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Palakanis — Owner · (775) 269-2626
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateMay 31, 2026
Mailing address2820 Aragon Terrace Way, Henderson, NV 89044-1686

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