Active NPI
Kristin Wood
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1083497820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TEMP869538
- Practice address
- 3061 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-6226 - Phone
- (702) 254-5437
- Fax
- (702) 254-7354
- NPI assigned
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TEMP869538 | NV | Primary |
Addresses
Primary practice location
3061 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-6226
Mailing address
3061 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-6226
Phone (702) 254-5437
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMP869538 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjay Kandoth MD PC | Past | Accepting new patients | |
| Sanjay Kandoth MD PC | Past | Accepting new patients | |
| Sanjay Kandoth MD PC | Past | Accepting new patients | |
| Sanjay Kandoth MD PC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1083497820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 S MARYLAND PKWY STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891096226",
"telephone_number": "702-254-5437",
"fax_number": "702-254-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 S MARYLAND PKWY STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891096226",
"telephone_number": "702-254-5437",
"fax_number": "702-254-7354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "TEMP869538",
"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 Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.