Adelwisa Viado Lizada, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10913 Issued in NV

Practice address

6161 W Charleston Blvd
Las Vegas, NV 89146-1126

Phone

(702) 486-6045

Fax

(702) 486-0411

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164523296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7996 DUTCH VILLAS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396287",
            "telephone_number": "702-897-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "702-486-6045",
            "fax_number": "702-486-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZADA",
        "first_name": "ADELWISA",
        "middle_name": "VIADO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "10913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Lynnette Livingston
• Britta Livonious
• Maria Liza Yutuc Liwanag, LPN
• Sean Liyanage, DO
• Jessica Stephanie Liza, LCSW
• Stephanie Lizana
• Edward R-Perez Lizano, M.D.
• Adele Lizaola
• Ryan Pascua Lizardo, PHARM D
• Yoalnda Teresa Lizardo

• Psychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.