Kintana Torres Wixom, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

854431 Issued in NV

Practice address

3835 S Jones Blvd
Las Vegas, NV 89103-7125

Phone

(702) 880-4193

NPI assigned

May 5, 2022

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

Other names 1

• Kintana Belila Torres Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Nevada LLCGroup PAC ID 7012137037, 106 clinicians

Las Vegas Pain Institute and Medical Center, LLCGroup PAC ID 0941256846, 8 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Urgent Care Nevada, LLC

  dba CareNow Urgent Care

  • Urgent Care Clinic/Center
  • Henderson, NV
  • NPI 1134546575
  Medicare reassignment Care Compare group NPD
• Las Vegas Pain Institute and Medical Center, LLC

  dba Las Vegas Pain Institute and Medical Center

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1659431443
  Medicare reassignment Care Compare group
• Vista Health Mirza MD PC

  • Cardiovascular Disease Physician
  • Fort Mohave, AZ
  • NPI 1033393194

  NV

  Medicare reassignment NPD
• Spring Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1154481984
  NPD
• Bashir Azher Medical Associates PC

  dba Arizona Pulmonary Associates

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1083837223
  NPD (past)
• Comprehensive Urgent Care

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1578478673
  NPD (past)
• Henry Ford Maplegrove Center

  dba Henry Ford Health System

  • Children's Substance Abuse Rehabilitation Facility
  • West Bloomfield, MI
  • NPI 1295767630
  NPD (past)
• Hosea E Brown MD Inc

  • Allergy Physician
  • Palm Springs, CA
  • NPI 1316265010
  NPD (past)

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1174269898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037125",
            "telephone_number": "021-880-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037125",
            "telephone_number": "702-880-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIXOM",
        "first_name": "KINTANA",
        "middle_name": "TORRES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-06-10",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "854431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINTANA",
            "last_name": "TORRES",
            "middle_name": "BELILA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Leone Witters
• Stephanie Witthoeft
• Seth H Wittner, PA C
• Richard Witty Jr., D.M.D
• Tyler Witzel, DO
• Robert Mark Wlodek, O.D.
• Roshae R Wlson
• WMK, LLC (MobilityWorks)
• WMT Enterprises LLC (WMT Medical Transportation)
• Stephanie Wofford

• 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 Jun 10, 2022; 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.

Verify at the official NPI Registry.