Individual provider Active NPI

Graceann Ashley Pittari, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1902520307
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
859121 Issued in NV
Practice address
8565 S Eastern Ave
Las Vegas, NV 89123-2808
Phone
(702) 848-5888
Fax
(702) 637-3767
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 859121 NV Primary

Addresses

Primary practice location

8565 S Eastern Ave
Las Vegas, NV 89123-2808

Mailing address

111 S Gibson Rd Apt 3304
Henderson, NV 89012-2670
Phone (702) 848-5888

Other practice location 1

111 S Gibson Rd Apt 3304
Henderson, NV 89012-2670
Phone (702) 848-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221122002275 CO Practitioner - Nurse Practitioner 2365810322
I20251110001860 NV Practitioner - Nurse Practitioner 2365810322 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 S Gibson Rd
Apt 3304
Henderson, NV 89012-2670

8565 S Eastern Ave
Suite 150
Las Vegas, NV 89123-2906
Phone (702) 848-5888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
859121NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Place of Grace Psychiatry PLLC Psychiatric/Mental Health CurrentSince Sep 22, 2025 Accepting new patients
A Place of Grace Psychiatry PLLC CurrentSince Mar 30, 2025 Accepting new patients
Sunarch LLC Past Accepting new patients

Locations

8565 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 530-8479

8565 S Eastern Ave
Ste 150
Las Vegas, NV 89123
Phone (702) 217-0820

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.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1902520307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S GIBSON RD APT 3304",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122670",
            "telephone_number": "702-848-5888",
            "fax_number": "702-637-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232808",
            "telephone_number": "702-848-5888",
            "fax_number": "702-637-3767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Gibson Rd Apt 3304",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890122670",
            "country_code": "US",
            "telephone_number": "702-848-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTARI",
        "first_name": "GRACEANN",
        "middle_name": "ASHLEY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "859121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.