Kimberly Sue Ebrahimi, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

864647 Issued in NV

Practice address

2801 N Tenaya Way Ste C
Las Vegas, NV 89128-1400

Phone

(702) 684-7800

NPI assigned

Apr 7, 2023

Last updated

Apr 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Doctors Center at Red Rock Capobianco PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Las Vegas, NV
  • NPI 1942688932
  Medicare reassignment NPD
• Shamloo Blue Sky Treatment Center PLLC

  • Medical Oncology Physician
  • Las Vegas, NV
  • NPI 1487081048
  Medicare reassignment NPD
• Sittler Integrative PC

  • Integrative Medicine Physician
  • Las Vegas, NV
  • NPI 1366177610
  NPD
• Sittler Integrative PC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1992480586
  NPD

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1154016996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N TENAYA WAY STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281400",
            "telephone_number": "702-684-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6120 S Fort Apache Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891486759",
            "country_code": "US",
            "telephone_number": "702-602-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1371 W Warm Springs Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890148068",
            "country_code": "US",
            "telephone_number": "702-998-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "864647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonny Behavioral Care Services Corporation
• Ebonny Home Health Agency Inc (Ebonny Home Health Agency)
• Ebonny Ventures Inc (Nevada Treatment Center)
• Ebonny Ventures LLC (Ozomor Psychiatric Services)
• Ebony Relief Charitable Inc. (Ika Wellness)
• Sheida Ebrahimi, MD
• Saber Ebrahimzadeh
• Timothy Ebright, DO
• Henry Sylvester Ebron III
• Janea Ebsworth

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.