| NPI | 1235633421 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2018-03-21 |
| Last Updated | 2025-12-12 |
| Authorized Official | Kenneth Mckay CEO Phone: 7024198920 |
| Mailing Address | 840 S Rancho Dr # 4-337 Las Vegas, NV 89106-3837 United States Phone: (702) 440-8440 | Fax: (866) 518-0781 📍 View Map |
| Primary Practice Address | 526 S Tonopah Dr Ste 200 Las Vegas, NV 89106-4013 United States Phone: (702) 440-8440 | Fax: (866) 518-0781 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NV | 1235633421 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 1041C0700X – Social Worker, Clinical | - | - |
| No | 101YM0800X – Counselor, Mental Health | - | - |
| No | 101YA0400X – Counselor, Addiction (Substance Use Disorder) | - | - |
| No | 103T00000X – Psychologist | - | - |
| No | 2084P0800X – Psychiatry & Neurology, Psychiatry | - | - |
| No | 106H00000X – Marriage & Family Therapist | - | - |
| Yes | 261QM0801X – Clinic/Center, Mental Health (Including Community Mental Health Center) | - | - |
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About NPI 1235633421
Lisa A Durette Md Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1235633421. The primary specialty listed is Clinic/Center, Mental Health (Including Community Mental Health Center). The organization is located in Las Vegas, NV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-03-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1235633421?
NPI 1235633421 belongs to Lisa A Durette Md Pllc, a Clinic/Center, Mental Health (Including Community Mental Health Center) in Las Vegas, NV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1235633421 active?
The current status of NPI 1235633421 in the NPPES registry is Active. The record was last updated on 2025-12-12.
What specialty is NPI 1235633421?
NPI 1235633421 is classified under the taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1235633421?
You can verify NPI 1235633421 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1235633421?
The primary practice address on file for NPI 1235633421 is 526 S Tonopah Dr Ste 200, Las Vegas, NV 89106-4013. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1235633421 issued?
NPI 1235633421 was first issued (enumerated) on 2018-03-21. The NPPES record was last updated on 2025-12-12.
Practice Location Map
Lisa A Durette Md Pllc is located at 526 S Tonopah Dr Ste 200, Las Vegas, NV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lisa A Durette Md Pllc. All records sourced from the CMS NPPES registry.