Individual provider Active NPI

Kaitlin Leigh Pruit, CNS, APRN, RN

  • Medical-Surgical Clinical Nurse Specialist
  • Las Vegas, NV
National Provider Identifier
1093428997
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
847635 Issued in NV
Practice address
288 Jackalberry St
Las Vegas, NV 89138-6318
Phone
(916) 204-8428
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X AP135010 TX
Medical-Surgical Clinical Nurse Specialist 364SM0705X 847635 NV Primary
Registered Nurse 163W00000X 841778 CA
Registered Nurse 163W00000X 041398838 IL
Registered Nurse 163W00000X 847635 NV
Registered Nurse 163W00000X 915210 TX

Addresses

Primary practice location

288 Jackalberry St
Las Vegas, NV 89138-6318

Mailing address

288 Jackalberry St
Las Vegas, NV 89138-6318
Phone (916) 204-8428

Other names 1

  • Kaitlin Leigh Fleischman Former name

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
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
841778CAMDRegistered Nurse
041398838ILMDRegistered Nurse
915210TXMDRegistered Nurse
847635NVMDMedical-Surgical Clinical Nurse Specialist
AP135010TXMDMedical-Surgical Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1093428997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 JACKALBERRY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386318",
            "telephone_number": "916-204-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 JACKALBERRY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386318",
            "telephone_number": "916-204-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUIT",
        "first_name": "KAITLIN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "CNS, APRN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TX",
            "license": "AP135010",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "NV",
            "license": "847635",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "841778",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041398838",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "847635",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "915210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "FLEISCHMAN",
            "middle_name": "LEIGH",
            "credential": "CNS, APRN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 5, 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.

Verify at the official NPI Registry.