Nevada Health Tanita PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NEVADA HEALTH TANITA PLLC

Practice address

1348 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5723

Phone

(702) 847-6252

Fax

(702) 847-6254

NPI assigned

Mar 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Fraser

Title

Practice Administrator

Phone

(702) 847-6252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HENDERSON WOMEN'S CARE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felix Edward Hernandez III, D.O.

  • Obstetrics & Gynecology Physician
  • Henderson, NV
  • NPI 1558710111
  Medicare reassignment Care Compare group NPD
• Gabriela N. Pena, MD

  • Obstetrics & Gynecology Physician
  • Henderson, NV
  • NPI 1386105716
  Medicare reassignment Care Compare group NPD
• Douglas Tanita, M.D.

  • Obstetrics & Gynecology Physician
  • Henderson, NV
  • NPI 1891004198
  Medicare reassignment Care Compare group NPD
• Amy Monrreal, PA-C

  • Medical Physician Assistant
  • Henderson, NV
  • NPI 1134542160
  Medicare reassignment Care Compare group
• Cody Murray, PA-C

  • Physician Assistant
  • Henderson, NV
  • NPI 1508519653
  Medicare reassignment Care Compare group
• Brooke Melanie Wallace, PA

  • Physician Assistant
  • Henderson, NV
  • NPI 1083504740
  Medicare reassignment Care Compare group
• Amanda Lee Tillett, MD

  • Obstetrics & Gynecology Physician
  • Henderson, NV
  • NPI 1770163347
  Medicare reassignment NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1104384924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S GREEN VALLEY PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520425",
            "telephone_number": "702-847-6252",
            "fax_number": "702-847-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 PASEO VERDE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125723",
            "telephone_number": "702-847-6252",
            "fax_number": "702-847-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEALTH TANITA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-847-6252"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250009085",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eClinicalWorks",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "650 S Green Valley Pkwy Ste 120",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890520425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HENDERSON WOMEN'S CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Obstetrics & Gynecology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.