Individual provider Active NPI

Grant Salvante Abitria, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1689499394
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
882721 Issued in NV
Practice address
4275 Burnham Ave Ste 100
Las Vegas, NV 89119-5400
Phone
(702) 240-6482
NPI assigned
Nov 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 882721 NV
Nurse Practitioner 363L00000X 882721 NV Primary
Acute Care Nurse Practitioner 363LA2100X 882721 NV
Gerontology Nurse Practitioner 363LG0600X 882721 NV

Addresses

Primary practice location

4275 Burnham Ave Ste 100
Las Vegas, NV 89119-5400

Mailing address

801 S Rancho Dr Ste E6
Las Vegas, NV 89106-3812
Phone (702) 240-6482

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407003098 NV Practitioner - Nurse Practitioner 3274057666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Care and Wellness Center LLCGroup PAC ID 8527508340, 8 clinicians

Practice addresses (Care Compare)

4275 Burnham Ave
Suite 100
Las Vegas, NV 89119-5400
Phone (702) 240-6482

855 E Twain Ave
Suite 103
Las Vegas, NV 89169-0820
Phone (702) 591-3381

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
882721NVMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Heart and Vascular Center Resh LLP CurrentSince Jan 29, 2026 Accepting new patients
Advanced Care & Wellness Center LLC Adult Health CurrentSince Aug 28, 2025 Accepting new patients
Nevada Heart and Vascular Center Resh LLP CurrentSince Jan 29, 2026 Accepting new patients

Locations

4275 Burnham Ave
Ste 100
Las Vegas, NV 89119

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

801 S Rancho Dr
Ste E6
Las Vegas, NV 89106
Phone 7022406482 ext. 7284

855 E Twain Ave
Ste 103
Las Vegas, NV 89169
Phone (702) 591-3381

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1689499394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR STE E6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063812",
            "telephone_number": "702-240-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195400",
            "telephone_number": "702-240-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABITRIA",
        "first_name": "GRANT",
        "middle_name": "SALVANTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "882721",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "882721",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "882721",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "882721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.