Nevada Health Tanita PLLC
NPI 1104384924 · Obstetrics & Gynecology Physician · Henderson, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nevada Health Tanita PLLC is a Obstetrics & Gynecology Physician organization in Henderson, NV (NPI 1104384924).
Provider details
- NPI number
- 1104384924
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Fraser, Practice Administrator(702) 847-6252
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Henderson Women'S Care
Registry dates
- Enumerated
- 2019-03-11
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Frequently asked questions
- What is Nevada Health Tanita PLLC's NPI number?
- Nevada Health Tanita PLLC's National Provider Identifier (NPI) is 1104384924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nevada Health Tanita PLLC?
- Nevada Health Tanita PLLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Nevada Health Tanita PLLC located?
- Nevada Health Tanita PLLC's practice location on file with NPPES is 1348 Paseo Verde Pkwy Ste 100, Henderson, NV 89012-5723.
- What is Nevada Health Tanita PLLC's phone number?
- The practice phone number listed in the NPPES registry for Nevada Health Tanita PLLC is (702) 847-6252.
- Does Nevada Health Tanita PLLC accept Medicare?
- Nevada Health Tanita PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nevada Health Tanita PLLC?
- The authorized official listed on Nevada Health Tanita PLLC's NPPES record is Lisa Fraser, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nevada Health Tanita PLLC's NPI active?
- Yes — Nevada Health Tanita PLLC's NPI (1104384924) is active in the NPPES registry as of the last update on 2026-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.