Active NPI
Kathy Ann Tran, PA
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1275007205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0428
- Practice address
- 401 N Buffalo Dr Ste 200
Las Vegas, NV 89145-0397 - Phone
- (702) 697-0082
- NPI assigned
- Jan 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0428 | NV | Primary |
Addresses
Primary practice location
401 N Buffalo Dr Ste 200
Las Vegas, NV 89145-0397
Mailing address
7547 Brightwood Dr
Las Vegas, NV 89123-0501
Phone (520) 977-7839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0428 | NV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547251200000",
"number": "1275007205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7547 BRIGHTWOOD DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891230501",
"telephone_number": "520-977-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N BUFFALO DR STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891450397",
"telephone_number": "702-697-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "KATHY",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-12",
"last_updated": "2019-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA0428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.