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

Haley K Southwick

Individual provider Primary Care Nurse Practitioner · NPI 1598402760

Haley K Southwick is a Nurse Practitioner in Las Vegas, Nevada. Graduated from University of Utah School of Dentistry in 2023, 3 years ago. Practices with Khakwani Medical Corporation PC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
3
Trained at
University of Utah School of Dentistry
Licensed in
NV
In the registry since
2022
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Practice location Address checks out

10040 Alta Dr Ste 100B
Las Vegas, NV 89145-8630
Phone: (702) 960-1561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 871230 (NV)

Record details

NPI number1598402760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2022
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF UTAH SCHOOL OF DENTISTRY
Graduated 2023 (3 years in practice)
Group practice Khakwani Medical Corporation Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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