Active NPI
Kathrina Librando Paner, PA-C
- Medical Physician Assistant
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1159
- Practice address
- 9020 W Cheyenne Avenue
4000 E. Charleston Blvd #100
Las Vegas, NV 89129 - Phone
- (702) 240-4233
- Fax
- (702) 242-5901
- NPI assigned
- May 18, 2009
- Last updated
- Apr 9, 2014
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1159 | NV | Primary |
Addresses
Primary practice location
9020 W Cheyenne Avenue
4000 E. Charleston Blvd #100
Las Vegas, NV 89129
Mailing address
5841 E Charleston Blvd # 230-479
Las Vegas, NV 89142-1021
Phone (702) 734-8014
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
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3195 Saint Rose Pkwy
Suite 210
Henderson, NV 89052-3504
Phone (702) 792-6700
3195 St Rose Parkway
Suite 210
Henderson, NV 89052-3504
7040 Smoke Ranch Rd
Las Vegas, NV 89128-8607
Phone (702) 792-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1159 | NV | MD | Medical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Henderson, NV
- NPI 1083821714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1114152345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 E CHARLESTON BLVD # 230-479",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891421021",
"telephone_number": "702-734-8014",
"fax_number": "702-734-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 W CHEYENNE AVENUE",
"address_2": "4000 E. CHARLESTON BLVD #100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89129",
"telephone_number": "702-240-4233",
"fax_number": "702-242-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANER",
"first_name": "KATHRINA",
"middle_name": "LIBRANDO",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1159",
"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 Apr 9, 2014; 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.