Individual provider Active NPI

Kara Lynn Bennis

  • Community Health Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1275955171
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN23157 Issued in NV
Practice address
625 Shadow LN Ste 106
Las Vegas, NV 89106-4118
Phone
(702) 759-0769
Fax
(702) 759-1431
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN23157 NV Primary

Addresses

Primary practice location

625 Shadow LN Ste 106
Las Vegas, NV 89106-4118

Mailing address

PO Box 3902
Las Vegas, NV 89127-3902
Phone (702) 759-0769

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

State licenses

LicenseStateTypeSpecialty
RN23157NVMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1275955171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3902",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891273902",
            "telephone_number": "702-759-0769",
            "fax_number": "702-759-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SHADOW LN STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064118",
            "telephone_number": "702-759-0769",
            "fax_number": "702-759-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNIS",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NV",
            "license": "RN23157",
            "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 10, 2014; 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.