Active NPI
Lanisa Harveson, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1033591607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3141
- Practice address
- 3620 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7233 - Phone
- (702) 368-6778
- Fax
- (702) 368-6775
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3141 | NV | Primary |
Addresses
Primary practice location
3620 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7233
Mailing address
3620 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7233
Phone (702) 368-6778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3141 | Other | NV | 3141 |
Other names 1
- Lanisa Harveson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3141 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1033591607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 E SUNSET RD",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891207233",
"telephone_number": "702-368-6778",
"fax_number": "702-368-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 E SUNSET RD",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891207233",
"telephone_number": "702-368-6778",
"fax_number": "702-368-6775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVESON",
"first_name": "LANISA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-19",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "3141",
"identifier": "3141",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LANISA",
"last_name": "HARVESON",
"credential": "PT",
"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 Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.