Individual provider Active NPI

Kathrina Librando Paner, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1114152345
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1159 Issued in NV
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028001640 NV Practitioner - Physician Assistant 5698084895 Reassigns benefits to 1 organization

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
Ear, Nose and Throat Consultants of NevadaGroup PAC ID 9032105952, 15 clinicians

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

LicenseStateTypeSpecialty
PA1159NVMDMedical 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.

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

Verify at the official NPI Registry.