Kristin M Hamilton, MSPA,.PA-C
Individual provider Active NPI Surgical Physician Assistant · Las Vegas, NV
NPI 1336396258 · NPPES record last updated Jan 5, 2010
Key facts
- NPI
- 1336396258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA1015 (NV)
- Practice address
- 3061 S Maryland Pkwy
Suite 200
Las Vegas, NV 89109-6227 - Phone
- (702) 737-1948
- Fax
- (702) 737-7195
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026657 | NY | MD | Occupational Therapist |
| PA1015 | NV | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agata-Venger Partnership | Past | Accepting new patients | |
| Advanced Care Emergency Services, PLLC | Past | Accepting new patients | |
| Ansarinia Professional Corportation | Past | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Past | Accepting new patients |
Interoperability endpoints
- khamilton1916099@nychhc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA1015 | NV | Yes |
Addresses
Primary practice location
3061 S Maryland Pkwy
Suite 200
Las Vegas, NV 89109-6227
Mailing address
3061 S Maryland Pkwy
Suite 200
Las Vegas, NV 89109-6227
Phone (702) 737-1948
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429682 | Medicaid | AZ | |
| A0742Y | Other | NV | PALMETTO MEDICARE J1 |
| 1336396258 | Medicaid | NV |
Other providers in Las Vegas, NV
- Julie Ann Hamilton
- Kasie Hamilton
- Keisha Hamilton
- Kevbreona Hamilton
- Keymon Hamilton
- Lakisha Marie Hamilton
- Linda Hamilton
- Maurice Brent Hamilton
- McKenzie Hamilton
- Miahla Hamilton
All providers in Las Vegas, NV · Surgical Physician Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.