Active NPI
Clarisse Grande Yu Asensi
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1013587591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 847623
- Practice address
- 7061 Grand Montecito Pkwy
Las Vegas, NV 89149-0287 - Phone
- (702) 750-3929
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 83338 | NV | |
| Registered Nurse | 163W00000X | 95248890 | CA | |
| Nurse Practitioner | 363L00000X | 847623 | NV | Primary |
Addresses
Primary practice location
7061 Grand Montecito Pkwy
Las Vegas, NV 89149-0287
Mailing address
7061 Grand Montecito Pkwy
Las Vegas, NV 89149-0287
Other names 1
- Clarisse Grande Manabat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95248890 | CA | MD | Registered Nurse |
| 83338 | NV | MD | Registered Nurse |
| 847623 | NV | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1013587591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7061 GRAND MONTECITO PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891490287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7061 GRAND MONTECITO PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891490287",
"telephone_number": "702-750-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU ASENSI",
"first_name": "CLARISSE",
"middle_name": "GRANDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "83338",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95248890",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "847623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLARISSE",
"last_name": "MANABAT",
"middle_name": "GRANDE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.