Organization provider

LISA A DURETTE MD PLLC

Child & Adolescent Psychiatry Physician Mental Health Counselor Psychologist Medicare enrolled

LISA A DURETTE MD PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1669679205, based in Las Vegas, NV. The organization lists 5 taxonomy classifications, with Child & Adolescent Psychiatry Physician recorded as primary.

Getting there

The practice address on file is 6600 W CHARLESTON BLVD STE 140, Las Vegas, NV 89146. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6600 W CHARLESTON BLVD STE 140, Las Vegas, NV 89146 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6103927280

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Child & Adolescent Psychiatry covers

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NUCC Health Care Provider Taxonomy, code 2084P0804X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Child & Adolescent Psychiatry

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2084P0804X Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry primary
101YM0800X Mental Health Counselor Mental Health
103T00000X Psychologist
1041C0700X Clinical Social Worker Clinical
106H00000X Marriage & Family Therapist

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1669679205 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 28, 2007
Last updatedNov 21, 2022
StatusActive
Practice address 6600 W CHARLESTON BLVD STE 140
Las Vegas, NV 89146
(702) 359-9404
Fax (866) 518-0781
Mailing address 840 S RANCHO DR STE 4-337
Las Vegas, NV 89106
Other identifiers 1669679205 (NV)
The last update on file is Nov 21, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1669679205 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 6 9 6 7 9 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 3 9 3 7 9 2 0

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1669679205?
NPI 1669679205 is the National Provider Identifier assigned to LISA A DURETTE MD PLLC in Las Vegas, NV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Child & Adolescent Psychiatry cover?
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
How do I contact LISA A DURETTE MD PLLC?
The phone number on file with NPPES is (702) 359-9404, last updated Nov 21, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does LISA A DURETTE MD PLLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1669679205 a valid number?
Yes. 1669679205 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.