Kelly Vashon Liggons, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

873589 Issued in NV

Practice address

7210 W Lake Mead Blvd Ste 4
Las Vegas, NV 89128-8353

Phone

(702) 202-4460

NPI assigned

Dec 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JD Medical Group LLCGroup PAC ID 2668817750, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• JD Medical Group, LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1376307058
  Medicare reassignment Care Compare group NPD
• Carefirst Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1013527845
  Medicare reassignment NPD
• Clinic 21 of Nevada Zyniewicz PLLC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1437548906
  NPD (past)
• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1962279968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 SAN MATEO ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890852304",
            "telephone_number": "317-833-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 W LAKE MEAD BLVD STE 4",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288353",
            "telephone_number": "702-202-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGGONS",
        "first_name": "KELLY",
        "middle_name": "VASHON",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "873589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loida F Ligad
• Oksana A Ligay
• Amy Liggett, MS
• Dana Gertrude Liggins
• Liggons & Clark Healthcare Group PLLC
• Light Brothers, LLC
• Light of of Hope Counseling Bilingual
• Light Path Behavioral Health LLC
• Brittany Ann Light
• David Light, D.C.

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.