Megan C Grande, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1253 Issued in NV

Practice address

1409 E Lake Mead Blvd
N Las Vegas, NV 89030-7120

Phone

(702) 657-5512

Fax

(702) 649-2300

NPI assigned

Apr 14, 2011

Last updated

Apr 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Superior Emergency Physicians Harris, PLLC

  • Emergency Medicine Physician
  • North Las Vegas, NV
  • NPI 1356885222
  Medicare reassignment
• Advanced Care Emergency Services, PLLC

  • Emergency Medicine Physician
  • North Las Vegas, NV
  • NPI 1811210941
  NPD (past)
• Lake Mead Emergency Physicians, LLC

  • Emergency Medicine Physician
  • N Las Vegas, NV
  • NPI 1154367605
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1619267358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19387",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333180387",
            "telephone_number": "877-693-5700",
            "fax_number": "954-625-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 E LAKE MEAD BLVD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307120",
            "telephone_number": "702-657-5512",
            "fax_number": "702-649-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "MEGAN",
        "middle_name": "C",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eeling Elaine Goh, O.D.
• Sherrlle L Gohegan
• Edith Gollaz
• Stacy Lynn Gonzalez
• Graduate House
• Jasmond Sheree Gray
• Jovan Gray
• Martin Gray
• Avion T Green
• Latravia R Green

• Physician Assistant in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.

Verify at the official NPI Registry.