Individual provider Active NPI

Allie Macadams, PA-C

  • Pediatrics Physician
  • Henderson, NV
National Provider Identifier
1396289831
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
PA0785 Issued in NV
Practice address
475 E. Bruner Ave
Ste 130
Henderson, NV 89044
Phone
(702) 763-2263
Fax
(702) 723-3765
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X PA0785 NV Primary

Addresses

Primary practice location

475 E. Bruner Ave
Ste 130
Henderson, NV 89044

Mailing address

475 E. Bruner Ave
Ste 130
Henderson, NV 89044
Phone (702) 763-2263

Other names 1

  • Allie Moriarty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222001709 NV Practitioner - Physician Assistant 9739463530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0785NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Associates of Southern Nevada- Martin, PLLC CurrentSince Jan 4, 2023 Accepting new patients
Henderson Hospital Past Accepting new patients
Inspirada Pediatrics LLC Pediatrics PastSince Mar 1, 2023 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

3196 S Maryland Pkwy
Ste 408
Las Vegas, NV 89109
Phone (702) 731-6000

9120 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 255-2022

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJGDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJGDDD/Endpoint/FJGDDD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1396289831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E. BRUNER AVE",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89044",
            "telephone_number": "702-763-2263",
            "fax_number": "702-723-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E. BRUNER AVE",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89044",
            "telephone_number": "702-763-2263",
            "fax_number": "702-723-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACADAMS",
        "first_name": "ALLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "PA0785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "MORIARTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.