DR. LISA ANN DURETTE (NPI# 1447359955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447359955 |
Entity Type | Individual |
Full Name | DR. LISA ANN DURETTE |
Credential | MD |
Practice Address |
6375 W Charleston Blvd Ste A-100 Las Vegas NV 89146-1139 |
Mailing Address |
3016 W Charleston Blvd Ste 100 Las Vegas NV 89102-1973 |
Practice Telephone | 7022530818 |
Practice Fax Number | 7022539625 |
Mailing Telephone | 7027807118 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-06-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
10869 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 100504475 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5516 S Fort Apache Rd, Suite 100, Las Vegas, NV 891487678 | 7026460188 | 8665180781 |
Street Address |
6375 W CHARLESTON BLVD STE A-100 |
City | LAS VEGAS |
State | NV |
Zip Code | 89146-1139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730430117 | Leo Joseph Terzian | Social Worker | 6375 W Charleston Blvd Ste A-100, Las Vegas, NV 89146-1139 | 2012-09-26 |
1053603134 | Ashley Edmonds | Social Worker | 6375 W Charleston Blvd Ste A-100, Las Vegas, NV 89146-1139 | 2011-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
Find all providers in zip 89146 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164873246 | Lisa A Durette Md Pllc | Psychiatry & Neurology | 526 S Tonopah Dr Ste 210, Las Vegas, NV 89106-4043 | 2016-06-29 |
1720472327 | Fernando Mendez | Psychiatry & Neurology | 2021 S. Jones Blvd, Las Vegas, NV 89146 | 2015-03-23 |
1255342069 | Joan Rueter Carapucci | Psychiatry & Neurology | 2775 S. Jones Blvd, Suite 101, Las Vegas, NV 89146 | 2006-08-10 |
1457303828 | Ann Childress | Psychiatry & Neurology | 4000 E. Charleston Blvd., B-130, Las Vegas, NV 89104 | 2006-05-16 |
1083239925 | Physicians of America | Psychiatry & Neurology | 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013 | 2020-06-16 |
1659900041 | Harding Pinnacle Psychiatric Care PC | Psychiatry & Neurology | 9414 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2020-04-07 |
1134759988 | Emmanuel Nwapa Md Pllc | Psychiatry & Neurology | 5440 W Sahara Ave Ste 202, Las Vegas, NV 89146-0361 | 2020-01-21 |
1053880856 | Stark Medicine Mckay Khurana Jeider Pllc | Psychiatry & Neurology | 8845 W Flamingo Rd Ste 210, Las Vegas, NV 89147-8745 | 2018-11-21 |
1346609203 | Bergdale & Hall, LLC | Psychiatry & Neurology | 6879 W Charleston Blvd, Suite A, Las Vegas, NV 89117-1672 | 2016-02-19 |
1083072425 | Neveda Psychiatric Clinic LLC | Psychiatry & Neurology | 4560 S Eastern Ave, Ste 17b, Las Vegas, NV 89119-6182 | 2016-01-31 |
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.