Individual provider Active NPI

Kristy Lee Solis

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1215584552
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
823543 Issued in NV
Practice address
229 N Pecos Rd Ste 100
Henderson, NV 89074-7364
Phone
(702) 605-5750
NPI assigned
Aug 21, 2019
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 823543 NV Primary

Addresses

Primary practice location

229 N Pecos Rd Ste 100
Henderson, NV 89074-7364

Mailing address

229 N Pecos Rd
Suite 100
Las Vegas, NV 89074
Phone (702) 605-5750

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
I20210111002192 NV Practitioner - Nurse Practitioner 8022421155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quang Nguyen DO PLLCGroup PAC ID 5698915247, 4 clinicians

Practice addresses (Care Compare)

229 N Pecos Rd
Suite 100
Henderson, NV 89074-7364
Phone (702) 605-5750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
823543NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quang Nguyen DO PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

229 N Pecos Rd
Ste 100
Henderson, NV 89074
Phone (702) 367-6370

700 Shadow Ln
Ste 400
Las Vegas, NV 89106
Phone (702) 431-7008

Interoperability endpoints

  • Direct secure messaging: kristy.solis@lve.eclinicaldirectplus.com

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1215584552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "702-605-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747364",
            "telephone_number": "702-605-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "KRISTY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "823543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.