NPIMap

Individual provider Active NPI

Lakeisha Henry, MD

  • Otolaryngology Physician
  • Henderson, NV
National Provider Identifier
1164489811
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20811 Issued in NV
Practice address
3195 Saint Rose Pkwy Ste 210
Henderson, NV 89052-3504
Phone
(702) 792-6700
Fax
(702) 792-7198
NPI assigned
Apr 27, 2006
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20811 NV Primary
Otolaryngology Physician 207Y00000X S7232 TX

Addresses

Primary practice location

3195 Saint Rose Pkwy Ste 210
Henderson, NV 89052-3504

Mailing address

3195 Saint Rose Pkwy Ste 210
Henderson, NV 89052-3504
Phone (702) 792-6700

Other practice location 1

8840 W Sunset Rd Ste A
Las Vegas, NV 89148-4897
Phone (702) 792-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521001577 NV Practitioner - Otolaryngology 3274779103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose and Throat Consultants of NevadaGroup PAC ID 9032105952, 15 clinicians

Practice addresses (Care Compare)

3195 Saint Rose Pkwy
Suite 210
Henderson, NV 89052-3504
Phone (702) 792-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S7232TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Consultants of Nevada CurrentSince Jul 5, 2021 Accepting new patients
Ear Nose and Throat Surgery Center LLC CurrentSince Jan 20, 2023 Accepting new patients
Radiology Associates of Southwest Louisiana Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

3195 Saint Rose Pkwy
Ste 210
Henderson, NV 89052
Phone (702) 792-6700

8840 W Sunset Rd
#A
Las Vegas, NV 89148
Phone (702) 792-6700

8840 W Sunset Rd
#B
Las Vegas, NV 89148
Phone (702) 209-3377

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1164489811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523504",
            "telephone_number": "702-792-6700",
            "fax_number": "702-792-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523504",
            "telephone_number": "702-792-6700",
            "fax_number": "702-792-7198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 W Sunset Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484897",
            "country_code": "US",
            "telephone_number": "702-792-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LAKEISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "20811",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "S7232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.