Edda Stange Ladia Jr.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

6767 W Tropicana Ave
Las Vegas, NV 89103-4754

Phone

(702) 209-0370

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunrise Health Clinics LLC

  • Public Health & General Preventive Medicine Physician
  • Las Vegas, NV
  • NPI 1629405840
  NPD (past)

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1568034692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 BEECH AVE",
            "city": "JEAN",
            "state": "NV",
            "postal_code": "890198503",
            "telephone_number": "702-801-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034754",
            "telephone_number": "702-209-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADIA",
        "first_name": "EDDA",
        "middle_name": "STANGE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varniel Lacy
• Mildred Ladaga
• Eileen Frances Ladelfa
• Santiago C Laderas
• Jeffrey Carl Ladi Jr.
• Jinky Ladislao
• Rosemarie Bingayen Ladner, L.M.T.,
• Timothy Ladner, MD
• Maris Ladroma
• Rufino Ladroma

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.