Active NPI
Kristopher Kevin Kleinman, R.N, N.P
- Gerontology Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 810017
- Practice address
- 5550 Painted Mirage Rd Ste 217
Las Vegas, NV 89149 - Phone
- (702) 410-9800
- NPI assigned
- Mar 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN82632 | NV | |
| Gerontology Nurse Practitioner | 363LG0600X | 810017 | NV | Primary |
Addresses
Primary practice location
5550 Painted Mirage Rd Ste 217
Las Vegas, NV 89149
Mailing address
11752 Via Esperanza Ave
Las Vegas, NV 89138-6025
Phone (801) 792-8012
Other practice location 1
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810017 | Other | NV | NEVADA NURSING BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5550 Painted Mirage Rd
Suite 217
Las Vegas, NV 89149-4620
Phone (702) 410-9800
Hospital & facility affiliations
- Spring Valley Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN82632 | NV | MD | Registered Nurse |
| 810017 | NV | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elkhorn Surgery Center LLC | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Las Vegas, NV
- NPI 1003188145
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- Ambulatory Surgical Clinic/Center
- Las Vegas, NV
- NPI 1164316790
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1982289690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1083076269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11752 VIA ESPERANZA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891386025",
"telephone_number": "801-792-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 PAINTED MIRAGE RD STE 217",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89149",
"telephone_number": "702-410-9800"
}
],
"practiceLocations": [
{
"address_1": "3001 Saint Rose Pkwy",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890523839",
"country_code": "US",
"telephone_number": "702-616-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEINMAN",
"first_name": "KRISTOPHER",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "R.N, N.P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-25",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN82632",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NV",
"license": "810017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA NURSING BOARD",
"identifier": "810017",
"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 Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.