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LISA KATHERINE TABOR APRN, ACNP-BC
NPI 1285631044
Nurse Practitioner - Acute Care in Las Vegas, NV

Active since July 07, 2005
6545 S FORT APACHE RD STE 135-228, LAS VEGAS, NV 89148(337) 804-2049(877) 866-3181 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 30, 2020, Apr 27, 2019 (2 updates tracked since 2019).

About Lisa Katherine Tabor Aprn, Acnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA KATHERINE TABOR APRN, ACNP-BC (NPI 1285631044) is an individual acute care provider in Las Vegas, Nevada, licensed in Nevada (APRN002065) and active in the NPI registry since July 2005. She maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1285631044
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA KATHERINE TABORCredential: APRN, ACNP-BC
Location Address6545 S FORT APACHE RD STE 135-228Las Vegas, NV 89148-6752
Mailing Address9900 Bren Road East, Mail Route Mn 008-8213Minnetonka, MN 55343 · (337) 804-2049
Phone(337) 804-2049
Fax(877) 866-3181
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJune 30, 20202 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
✔ NPI 1285631044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NV · APRN002065
6545 S FORT APACHE RD STE 135-228, Las Vegas, NV 89148
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Secondary Practice Location 1

Location 12851 Johnston St, SUITE 535Lafayette, LA 70503-3243 · Phone (337) 804-2049 · Fax (877) 866-3181

Other Identifiers 1

Medicaid1477427LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Tabor's NPI number?

The NPI number for Lisa Tabor is 1285631044. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Lisa Tabor located?

Lisa Tabor practices at 6545 S Fort Apache Rd Ste 135-228, Las Vegas, NV 89148. The listed phone number is (337) 804-2049.

What is Lisa Tabor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Lisa Tabor was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.