Active NPI
Tasha Grady
- Pediatric Registered Nurse
- Las Vegas, NV
National Provider Identifier
1942034566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 877658
- Practice address
- 3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946 - Phone
- (702) 560-2192
- NPI assigned
- Aug 27, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 877658 | NV | Primary |
Addresses
Primary practice location
3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946
Mailing address
11823 S Bishop St
Chicago, IL 60643-5013
Phone (773) 216-3353
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 877658 | NV | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1942034566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11823 S BISHOP ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606435013",
"telephone_number": "773-216-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 HOWARD HUGHES PKWY STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891690946",
"telephone_number": "702-560-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "TASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NV",
"license": "877658",
"primary": true
}
],
"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 Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.