NPPES file of Aug 9, 2026

Lieutenant Johnson Superville, PH.D

Psychiatric/Mental Health Nurse Practitioner · Henderson, NV

Lieutenant Johnson Superville, PH.D is a psychiatric/mental health nurse practitioner with a practice address in Henderson, Nevada, and NPI 1790458156, issued on Jul 30, 2021. Check the license (Nevada 847157, as entered in NPPES) with the Nevada board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790458156
Name
Lieutenant Johnson Superville
Credential
PH.D
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
847157 NV
Self-reported in NPPES; status is on the state search
Practice location
6301 Mountain Vista St Ste 104, Henderson, NV 89014
Phone
(512) 201-6766
Enumerated
Jul 30, 2021
Record last updated
Dec 5, 2025
Medicare enrollment
Enrolled (PECOS I20260109003574); may accept Medicare assignment
Medical or professional school
Nova Southeastern College Of Osteo Medicine, 2019
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest psychiatric/mental health nurse practitioner records → All 531 in Nevada → Look up another NPI →

Also registered at 6301 Mountain Vista St Ste 104

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Roya Zamanian, APRN,FNP-CPsychiatric/Mental Health Nurse Practitioner1346612116

Verify Lieutenant Johnson Superville in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Nevada board licenses this profession
    Search for license 847157    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Nevada license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Lieutenant Johnson Superville among 531 psychiatric/mental health nurse practitioner records in Nevada

Lieutenant Johnson Superville, PH.D is one of 531 psychiatric/mental health nurse practitioner records with a practice address in Nevada. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2021, is newer than 40% of them.

  • NPI issued2021 · 40% of these records are older, 53% newer
  • In a Medicare fileNo · 70% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2019 · median 2021 among the 335 with a school on file
  • Record last updated2025 · 16% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Nevada practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Nurse Practitioner providers in Nevada

There are 531 psychiatric/mental health nurse practitioner records in Nevada. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 531 in Nevada → Every provider in Henderson → Psychiatric/Mental Health Nurse Practitioner nationwide →

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Carlos Jimenez Pozo, PMHNP-C, FNP-CHenderson, NV 890141215579602
  2. Shahrnaz Mashkoor, DNP, FNP, PMHNP-BCHenderson, NV 890141487157004
  3. Jessika Mayes, DNP, APRN, PMHNP-BCHenderson, NV 890141326597386
  4. Vanessa Parker, PHD,RN,PHN,PMHNP-BCHenderson, NV 890141427366749
  5. Sarah PetersonHenderson, NV 890141255031597
  6. Roya Zamanian, APRN,FNP-CHenderson, NV 890141346612116
  7. Kurt Vernon BeatyHenderson, NV 890151396605333
  8. Kachirri Gunn, PMHNP-BCHenderson, NV 890151376336180

Common questions

What is Lieutenant Johnson Superville, PH.D's NPI number?

Lieutenant Johnson Superville, PH.D's National Provider Identifier (NPI) is 1790458156, issued on Jul 30, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Lieutenant Johnson Superville, PH.D located?

The NPPES record lists a practice address at 6301 Mountain Vista St Ste 104, Henderson, NV, 89014. Phone: (512) 201-6766. Providers update this record themselves, so call before visiting.

How can I verify Lieutenant Johnson Superville, PH.D's license?

NPPES lists Nevada license number 847157, as entered by the provider. Search the Nevada board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.