LILNETRA GRADY (NPI# 1619429933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619429933 |
| Entity Type | Individual |
| Full Name | LILNETRA GRADY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
400 Shadow Ln Ste 106 Las Vegas NV 89106-4355 |
| Mailing Address |
8936 Spanish Ridge Ave Ste 106 Las Vegas NV 89148-1354 |
| Practice Telephone | 7027310909 |
| Practice Fax Number | 7028264767 |
| Mailing Telephone | 7029982816 |
| Mailing Fax Number | 7029982991 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
813525 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209015079 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1619429933 | 05 |
| Street Address |
400 SHADOW LN STE 106 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124193206 | Keith Allen Breiland | Internal Medicine | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2006-11-22 |
| 1710531553 | Megan Diaz | Rehabilitation Practitioner | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2019-07-30 |
| 1487115952 | Julia Irene Kannard | Counselor | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2019-03-27 |
| 1528502804 | Alyson M. Cannon | Counselor | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2016-12-06 |
| 1619390978 | Cynthia Capurso | Registered Nurse | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2014-01-22 |
| 1114349453 | Janice Richardson | Registered Nurse | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2014-01-06 |
| 1902146657 | Teodoro Rio Montemayor Manalang | Nurse Practitioner | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2013-02-18 |
| 1992043574 | Mae Badua Guerrero | Nurse Practitioner | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2013-01-16 |
| 1972851962 | Milka Aviles-quintana | Marriage & Family Therapist | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2012-08-22 |
| 1316243504 | Tianna C Pena | Social Worker | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2011-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396651 | Alma F Talavera | Nurse Practitioner | 5982 Juniper Falls Ave, Las Vegas, NV 89130-2827 | 2020-11-06 |
| 1154922300 | Reynaly Campos | Nurse Practitioner | 10680 Spruce Bough St, Las Vegas, NV 89183-4631 | 2020-11-04 |
| 1811596463 | Carolina Salaberrios | Nurse Practitioner | 8440 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7648 | 2020-10-23 |
| 1851990840 | John Marius Agravio Tolentino | Nurse Practitioner | 3557 Winter Wren St, Las Vegas, NV 89122-3539 | 2020-10-21 |
| 1811596760 | Emmelyn Pineda Rivas | Nurse Practitioner | 7852 Lovely Pine Pl, Las Vegas, NV 89143-4431 | 2020-10-21 |
| 1659979052 | Francis Torres | Nurse Practitioner | 10010 Fort Pike St, Las Vegas, NV 89178-7543 | 2020-10-16 |
| 1144828849 | Julio Arvie Mata Madarazo Jr. | Nurse Practitioner | 6284 Canvasback Ave, Las Vegas, NV 89122-3545 | 2020-10-14 |
| 1104424076 | Khelsey Macaspac | Nurse Practitioner | 6446 Dunns River St, Las Vegas, NV 89166-8064 | 2020-10-13 |
| 1912505199 | Angelica Villahermosa | Nurse Practitioner | 8115 Dancing Bull Ct, Las Vegas, NV 89139-6702 | 2020-10-11 |
| 1467050625 | Ruby Borja | Nurse Practitioner | 7329 Perkins Hill St, Las Vegas, NV 89166-6505 | 2020-10-10 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.