Active NPI
Kimberly Hepburn
- Rehabilitation Practitioner
- North Las Vegas, NV
National Provider Identifier
1053220392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 570 W Cheyenne Ave Ste 10
North Las Vegas, NV 89030-3931 - Phone
- (702) 633-5096
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NV | Primary |
Addresses
Primary practice location
570 W Cheyenne Ave Ste 10
North Las Vegas, NV 89030-3931
Mailing address
3110 Polaris Ave Ste 1
Las Vegas, NV 89102-8359
Phone (702) 633-5096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1053220392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 POLARIS AVE STE 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891028359",
"telephone_number": "702-633-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 W CHEYENNE AVE STE 10",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890303931",
"telephone_number": "702-633-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEPBURN",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.