Providers Approach Care Insurance & payment Contact Call (725) 527-7307 Book a visit
Accepting new patients

Your mind and body,
cared for together.

Primary care and mental health in one practice, so you are not repeating your story to a new provider every time. Telehealth across four states, and in person in Las Vegas.

4 states
NV, ID, NM and AZ
40 minutes
Your first visit
2 specialties
One practice, one chart
A KieTre nurse practitioner meeting with a patient by video
Visits from home
No commute, no waiting room, same provider each time
In person in Las Vegas
Telehealth in NV, ID, NM, AZ
Primary care and psychiatry
Insurance accepted
Your providers

Two owners. Two specialties.
One practice.

You get the right expertise for what you are dealing with without being sent somewhere else to get it.

Dr. Akisha Toussaint, DNP, APRN, PMHNP-BC, FNP-BC Mental & behavioral health
Dr. Akisha Toussaint
DNP, APRN, PMHNP-BC, FNP-BC · Co-owner
My background as a dual-certified practitioner lets me support patients through every stage of their health, addressing both the medical and the mental health side of what they are experiencing.
ADHD Anxiety Depression Bipolar disorder Schizophrenia Mood disorders
Christianah Sutton-Nwuli, FNP-C Primary care
Christianah Sutton-Nwuli
FNP-C · Co-owner · 6 years practicing
I am proud to serve the Clark County community as a Family Nurse Practitioner. Most of all, I love partnering with my patients to help them feel their best and live healthier lives.
Primary care Pain management Geriatrics Chronic disease Addiction care
Our approach

Care that treats the whole person.

Physical health and mental health are connected. When they are handled by two separate offices that never talk to each other, things get missed, and you end up managing the gaps yourself.

At KieTre, both live in one practice and one chart. Your provider sees the full picture, which means fewer repeated conversations and a plan that actually fits your life.

We keep the space welcoming and culturally sensitive, because being heard is part of being treated well.

Book a visit
A patient taking a quiet moment outdoors
One practice, one chart
Primary care and mental health, handled by providers who share your history.
A provider taking a patient's blood pressure
In personExams, vitals, and the checks that catch things early.
A telehealth visit on a laptop at home
Or from homeThe same care by video, across all four states.
A provider holding medication
Managed over timePrescriptions reviewed and adjusted, not set and forgotten.

Whole-person care

Physical and mental health treated together, which tends to hold up better over time.

Prevention first

Catching things early, while they are still simple to manage.

Built around you

Every plan starts from your goals, your labs, and what you can realistically keep up.

Easy to reach

Telehealth removes the commute, the time off work, and the waiting room.

What we treat

Four branches of one practice.

Start wherever your need is. Care moves between these areas without you having to start over.

Primary care

Prevention first, personal always.

Primary care is not only for when something is wrong. Wellness visits, preventive labs, and steady management of ongoing conditions are what keep small things small. Led by Christianah Sutton-Nwuli, FNP-C.

Medication management

Ongoing monitoring and adjustments, not a prescription and a follow-up six months later.

Chronic disease management

Long-term support for diabetes, hypertension, asthma, and other ongoing conditions.

Pain management

Individual approaches for patients living with chronic or acute pain.

Geriatrics and addiction care

Support for older adults and for patients managing substance use.

Schedule primary care
An older patient's hands held by their provider
Provided by
Christianah Sutton-Nwuli, FNP-C
Mental health

Psychiatric care that goes past the prescription.

Mental health shapes daily functioning, work, and relationships. Dr. Akisha Toussaint provides thorough evaluations and treatment plans, supported by therapy referrals and practical lifestyle guidance.

Psychiatric evaluations

A full assessment, a clear diagnosis, and a plan you understand.

Behavioral health and mood screening

Anxiety screening, suicide risk evaluation, and early detection of mood conditions.

Cognitive function testing

Assessment of memory, attention, and problem solving.

Check-ins between visits

Brief assessments so progress is tracked rather than assumed.

Schedule a mental health visit
A patient taking a quiet moment at home

Conditions we treat

ADHD Anxiety Depression Bipolar disorder Schizophrenia Mood disorders PTSD Stress and burnout Sleep issues

Treatment here is more than medication management. Plans include therapy referrals, lifestyle guidance, and ongoing support, and they are adjusted as your situation changes. Psychiatry visits are covered by several insurance plans. See insurance and payment.

Weight management

No crash diets. No generic plans.

A medically supervised program built around your labs, your lifestyle, and what you want long term. You are supported by a nurse throughout, not handed a prescription and left to figure it out.

A patient during a strength session

Behavioral weight support

Counseling and practical tools for the habits and patterns that drive daily choices.

A plate of fresh vegetables

Lifestyle coaching

Nutritional guidance you can keep up with once the eight weeks are over.

A patient after a wellness injection

Wellness injections

NAD+ for metabolism, energy, and cellular health. B12 for energy and metabolic support.

Signature program
8-week personalized weight loss program
$799 per program

Two months of Semaglutide, with initial and titrated doses

Tirzepatide included in the program

Three RN visits for education, check-ins, and program close

Injection training and hands-on guidance

Diet and lifestyle guidance throughout

Consultation, $75. Includes a personal evaluation and a conversation about your goals. The fee applies toward program enrollment or medications.
Book a consultation
Concierge

When you need care to move at your pace.

A membership for patients who want priority access and scheduling that fits around work and family. Pay-as-you-go visits are available too, so membership is a choice rather than a requirement.

Up to three visits a month

Included with membership, across any of our care areas.

Same-day or next-day appointments

Priority scheduling, so you are not waiting when something comes up.

Flexible 24-hour scheduling

Appointments arranged for the time that actually works for you.

Call to enroll

What membership covers

Routine checkups
Sick and urgent visits
Women's wellness
Medication refills
Preventive screenings
Virtual care
Weight management
Mental health support
Not sure whether membership fits? Call (725) 527-7307 and we will walk through both options with you.
Insurance

Insurance accepted for psychiatry.

We currently accept these plans for psychiatry visits, and we are adding more. For primary care, call us and we will check your coverage before you book.

Aetna
Blue Cross Blue Shield
Carelon Behavioral Health
Cigna
Evernorth
Do not see your plan? Call (725) 527-7307. We are adding carriers, and we can confirm your specific coverage.
Payment

Simple, upfront billing.

Debit card Credit card Venmo
Payment policy

Co-pays, deductibles, and self-pay balances are collected before your appointment. Appointments are held once payment is confirmed.

Patient portal

After you schedule, you will get an invitation by email or text to join Tebra, our patient portal. Completing your intake forms there ahead of time means more of your visit is spent on you.

Book a visit
Ready when you are

Getting started takes one call.

New patients welcome. Telehealth across Nevada, Idaho, New Mexico, and Arizona, plus in-person care in Las Vegas.

Nevada Idaho New Mexico Arizona In person in Las Vegas
Get in touch

We are here when you are ready.

Reach out to schedule, ask a question, or find out whether we are a fit for what you need.

Phone
(725) 527-7307
Call or text
Email
frontdesk@kietrembc.com
We reply promptly
Book online
Schedule an appointment
practice.kareo.com/kietrembc
Office hours
Monday9:00 AM to 5:00 PM
Tuesday9:00 AM to 5:00 PM
Wednesday9:00 AM to 5:00 PM
Thursday9:00 AM to 5:00 PM
Friday9:00 AM to 5:00 PM
SaturdayClosed
SundayClosed

After scheduling, watch for an invitation to join Tebra, our patient portal, so you can complete intake forms before your visit.

Schedule an appointment