Individual provider Active NPI

Lauren Grace Martin, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1508018060
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001467 Issued in NV
Practice address
552 E Charleston Blvd
Las Vegas, NV 89104-1319
Phone
(702) 440-8440
Fax
(866) 518-0781
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001467 NV Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN001467 NV

Addresses

Primary practice location

552 E Charleston Blvd
Las Vegas, NV 89104-1319

Mailing address

840 S Rancho Dr # 4-337
Las Vegas, NV 89106-3837
Phone (702) 440-8440

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
I20240326003919 NV Practitioner - Nurse Practitioner 8628415627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Liberty Univ College of Osteopathic Medicine, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lisa a Durette MD PLLCGroup PAC ID 6103927280, 13 clinicians
Stark Medicine McKay Khurana Jeider PLLCGroup PAC ID 1557601978, 23 clinicians

Practice addresses (Care Compare)

552 E Charleston Blvd
Las Vegas, NV 89104-1319
Phone (702) 440-8440

6600 W Charleston Blvd
Suite 142
Las Vegas, NV 89146-9001
Phone (702) 440-8430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Durette MD PLLC CurrentSince Mar 15, 2024 Accepting new patients
Lisa a Durette MD PLLC CurrentSince Mar 15, 2024 Accepting new patients
Atm Counseling & Medical Services Past Accepting new patients

Locations

840 S Rancho Dr
#4337
Las Vegas, NV 89106

6600 W Charleston Blvd
Ste 140160
Las Vegas, NV 89146

6600 W Charleston Blvd
Ste 140
Las Vegas, NV 89146
Phone (702) 440-8440

6600 W Charleston Blvd
Ste 142
Las Vegas, NV 89146
Phone (702) 440-8430

552 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 440-8440

840 S Rancho Dr
Ste 4337
Las Vegas, NV 89106

526 S Tonopah Dr
Ste 200
Las Vegas, NV 89106
Phone (702) 440-8430

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1508018060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR # 4-337",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-440-8440",
            "fax_number": "866-518-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041319",
            "telephone_number": "702-440-8440",
            "fax_number": "866-518-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LAUREN",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001467",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN001467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.