Individual provider Active NPI

Kathryn Ann Saatzer, LPN

  • Licensed Practical Nurse
  • Las Vegas, NV
National Provider Identifier
1063456671
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN07466 Issued in NV
Practice address
4000 E Charleston Blvd
B-130
Las Vegas, NV 89104-6659
Phone
(702) 968-4000
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN07466 NV Primary

Addresses

Primary practice location

4000 E Charleston Blvd
B-130
Las Vegas, NV 89104-6659

Mailing address

4000 E Charleston Blvd
B-130
Las Vegas, NV 89104-6659
Phone (702) 968-4000

Other identifiers 1

IdentifierTypeStateIssuer
100507628MedicaidNV

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

State licenses

LicenseStateTypeSpecialty
LPN07466NVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1063456671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E CHARLESTON BLVD",
            "address_2": "B-130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046659",
            "telephone_number": "702-968-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E CHARLESTON BLVD",
            "address_2": "B-130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046659",
            "telephone_number": "702-968-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAATZER",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN07466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507628",
            "state": "NV"
        }
    ],
    "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 Feb 16, 2010; 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.