Individual provider Active NPI

Ileana Deveraux

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1639933377
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
904977 Issued in NV
Practice address
5765 S Rainbow Blvd Ste 101-102
Las Vegas, NV 89118-2536
Phone
(702) 412-8578
NPI assigned
Feb 13, 2024
Reactivated
Sep 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 904977 NV Primary
Registered Nurse 163W00000X 289452 TN
Behavior Technician 106S00000X
Student in an Organized Health Care Education/Training Program 390200000X TN

Addresses

Primary practice location

5765 S Rainbow Blvd Ste 101-102
Las Vegas, NV 89118-2536

Mailing address

461 21St Ave S
Nashville, TN 37240-1104
Phone (702) 412-8578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Little Lemons Therapy LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

5765 S Rainbow Blvd
Ste 101102
Las Vegas, NV 89118
Phone (702) 412-8578

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1639933377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 21ST AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372401104",
            "telephone_number": "702-412-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5765 S RAINBOW BLVD STE 101-102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182536",
            "telephone_number": "702-412-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERAUX",
        "first_name": "ILEANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "deactivation_date": "2026-09-03",
        "reactivation_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "904977",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "289452",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2026; 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.