Kaitlin Barela, KAITLIN BARELA CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

196514 Issued in NV

Practice address

1050 W Galleria Dr
Henderson, NV 89011-4800

Phone

(702) 963-7000

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1093440414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 MAHOGANY MEADOWS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891228603",
            "telephone_number": "657-378-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W GALLERIA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114800",
            "telephone_number": "702-963-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARELA",
        "first_name": "KAITLIN",
        "credential": "KAITLIN BARELA CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "NV",
            "license": "196514",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NV",
            "license": "196514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Anthony Barbose, N.D., R.PH.
• Erika A Barbour
• Beverly J Barclay, PH.D.
• Payton Amira Bard
• Sheri Bardos, PSY.D.
• Gregory Bares, DPT
• Julia Marie Barfield
• Leeda Barikzi, DO
• Erinn Marie Barker, DPT
• Lindsay Barker

• Surgical Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Surgical Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.