Individual provider Active NPI

Katherine Cornella, RN

  • Nursing Care Agency
  • Las Vegas, NV
National Provider Identifier
1326552142
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
74725 Issued in NV
Practice address
5564 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-3601
Phone
(702) 982-2273
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 74725 NV Primary

Addresses

Primary practice location

5564 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-3601

Mailing address

5564 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-3601
Phone (702) 982-2273

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
74725NVMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1326552142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 S FORT APACHE RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891483601",
            "telephone_number": "702-982-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 S FORT APACHE RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891483601",
            "telephone_number": "702-982-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELLA",
        "first_name": "KATHERINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NV",
            "license": "74725",
            "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 Dec 1, 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.