Kristensen Festenese Medical Group LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1002760224 Issued in NV

Legal business name

KRISTENSEN FESTENESE MEDICAL GROUP LLC

Practice address

8571 W Lake Mead Blvd
#120
Las Vegas, NV 89128

Phone

(702) 360-5194

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Salvatore Festenese, PA-CNPI 1043217581

Title

Manager

Phone

(702) 360-5194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Salvatore Festenese, P.A.C.

  • Medical Physician Assistant
  • Las Vegas, NV
  • NPI 1043217581
  Medicare reassignment Care Compare group Authorized official
• Anne E. Kristensen, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1861499733
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316033947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 W LAKE MEAD BLVD",
            "address_2": "#120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-360-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 W LAKE MEAD BLVD",
            "address_2": "#120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-360-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTENSEN FESTENESE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FESTENESE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SALVATORE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-360-5194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "1002760224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andreana Raissa Kripalani, MD
• Denise Faye Krischke, LMSW, CSW-I
• Alexandra Krishnamurthi, MD
• Aditya Narayanan Krishnan, MD
• Geetha Krishnan, MS,MA,RD,CDE,LD
• Anne E. Kristensen, M.D.
• Kristi a Asante MD PC
• Kristy Smith Aprn PLLC
• Aleksandr Krivonovskiy, MD
• Fawn Krodel

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.