Kellen R Prost

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN78226 Issued in NV

Practice address

1721 Snyder Ave
Carson City, NV 89701-7812

Phone

(775) 887-9390

NPI assigned

Jun 20, 2017

Last updated

Jun 20, 2017By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1245760446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 SILVER SHORES DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895062151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 SNYDER AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897017812",
            "telephone_number": "775-887-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROST",
        "first_name": "KELLEN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN78226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premiere Oxygen, LLC
• Donna Price, MFT
• Hannah Laura Prinz
• Pritchett Eye Care Incoprorated-Carson (Pritchett Eye Care Associates- Carson)
• Pritchett Eye Care PC (Pritchett Eye Care Associates (Carson))
• Prosthetic Consulting Technologies LLC
• Prosthetic Consulting Technologies LLC (AP Orthotics)
• Samualla L. Pry, LSW,
• Suzanne Quilici, APN
• Laurren Quinones, CPC-INTERN

• Registered Nurse in Carson City, NV
• Providers in Carson City, NV by specialty
• Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.