Individual provider Active NPI

Katrina Dado

  • Nurse Practitioner
  • N Las Vegas, NV
National Provider Identifier
1134997273
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
873470 Issued in NV
Practice address
6920 Noah Raven St
N Las Vegas, NV 89084-4032
Phone
(702) 470-5128
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 873470 NV Primary

Addresses

Primary practice location

6920 Noah Raven St
N Las Vegas, NV 89084-4032

Mailing address

6920 Noah Raven St
N Las Vegas, NV 89084-4032
Phone (702) 470-5128

Other names 1

  • Katrina Chryselle Dado Professional name

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
I20240302000565 NV Practitioner - Nurse Practitioner 8224473004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Toledo DO LTDGroup PAC ID 6406859156, 4 clinicians

Practice addresses (Care Compare)

2598 Windmill Pkwy
Suite 110
Henderson, NV 89074-5476
Phone (702) 933-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
873470NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Toledo DO LTD CurrentSince Jan 29, 2024 Accepting new patients

Locations

1552 W Warm Springs Rd
Ste 100
Henderson, NV 89014
Phone (702) 515-9917

2598 Windmill Pkwy
Ste 110
Henderson, NV 89074
Phone (702) 933-5544

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1134997273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 NOAH RAVEN ST",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890844032",
            "telephone_number": "702-470-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 NOAH RAVEN ST",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890844032",
            "telephone_number": "702-470-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADO",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "873470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA CHRYSELLE",
            "last_name": "DADO",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.