Active NPI
Lisa A Ledl, APN
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1568433217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN00298
- Practice address
- 1257 Paiute Cir
Las Vegas, NV 89106-3202 - Phone
- (702) 382-0784
- Fax
- (702) 384-5272
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN00298 | NV | Primary |
Addresses
Primary practice location
1257 Paiute Cir
Las Vegas, NV 89106-3202
Mailing address
1257 Paiute Cir
Las Vegas, NV 89106-3202
Phone (702) 382-0784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2402305 | Medicaid | NV | |
| 3102305 | Medicaid | NV |
Other names 1
- Miss Lisa A Ledl
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150220001403 | NV | Order and Referring Only - Nurse Practitioner | 0840515573 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN00298 | NV | MD | Family Nurse Practitioner |
Interoperability endpoints
- lisa.yalich@lvpt.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1568433217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 PAIUTE CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063202",
"telephone_number": "702-382-0784",
"fax_number": "702-384-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 PAIUTE CIR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063202",
"telephone_number": "702-382-0784",
"fax_number": "702-384-5272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDL",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN00298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2402305",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3102305",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "LEDL",
"middle_name": "A",
"prefix": "MISS",
"credential": "APN",
"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 Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.