Individual provider Active NPI

Nanette Leffall

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1447968896
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CI5102 Issued in NV
Practice address
3455 Cliff Shadows Pkwy Ste 220
Las Vegas, NV 89129-1077
Phone
(702) 673-4745
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CI5102 NV Primary

Addresses

Primary practice location

3455 Cliff Shadows Pkwy Ste 220
Las Vegas, NV 89129-1077

Mailing address

2759 Bridleton Ave
North Las Vegas, NV 89081-6581
Phone (702) 287-7696

Other names 1

  • Nanette Garrett Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CI5102NVMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1447968896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 BRIDLETON AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816581",
            "telephone_number": "702-287-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 CLIFF SHADOWS PKWY STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291077",
            "telephone_number": "702-673-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFALL",
        "first_name": "NANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI5102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANETTE",
            "last_name": "GARRETT",
            "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 Nov 14, 2022; 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.