Organization Active NPI

Quadra Health LLC

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1558074831
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
QUADRA HEALTH LLC
Practice address
2820 Aragon Terrace Way
Henderson, NV 89044-1686
Phone
(385) 707-7175
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Dr. Kerry Colleen Palakanis, FNPNPI 1841466810
Title
Ceo
Phone
(702) 561-2586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2820 Aragon Terrace Way
Henderson, NV 89044-1686

Mailing address

2820 Aragon Terrace Way
Henderson, NV 89044-1686
Phone (702) 561-2586

Other names 2

  • Quadra Health LLC Doing business as
  • Vitalpatrol LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230411002030 NV Part B Supplier - Clinic/Group Practice 1850766536 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1558074831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 ARAGON TERRACE WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441686",
            "telephone_number": "702-561-2586",
            "fax_number": "702-940-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 ARAGON TERRACE WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441686",
            "telephone_number": "385-707-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUADRA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "PALAKANIS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-561-2586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quadra Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitalpatrol LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.