Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dallin Stephen Ralph Johnson, PMHNP-BC

Individual provider Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1730910415

Dallin Stephen Ralph Johnson, PMHNP-BC is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2024, 2 years ago. Practices with Stark Medicine McKay Khurana Jeider PLLC, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

6600 W Charleston Blvd Ste 142
Las Vegas, NV 89146-1050
Phone: (702) 440-8430
Fax: (866) 640-0525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X · Licence 833966 (NV)

Record details

NPI number1730910415
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Stark Medicine McKay Khurana Jeider Pllc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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