Individual provider Active NPI

Kimberly Kelting

  • Case Manager/Care Coordinator
  • Las Vegas, NV
National Provider Identifier
1003110255
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1391 S Jones Blvd BLDG 1300
Las Vegas, NV 89146-1200
Phone
(702) 425-2627
Fax
(702) 425-2628
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1391 S Jones Blvd BLDG 1300
Las Vegas, NV 89146-1200

Mailing address

1391 S Jones Blvd BLDG 1300
Las Vegas, NV 89146-1200
Phone (702) 425-2627

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

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1003110255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 S JONES BLVD BLDG 1300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461200",
            "telephone_number": "702-425-2627",
            "fax_number": "702-425-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 S JONES BLVD BLDG 1300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461200",
            "telephone_number": "702-425-2627",
            "fax_number": "702-425-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTING",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.