Active NPI
Leslie E Kalyn, APRN
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1346475738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN001086
- Practice address
- 3085 E Flamingo Rd Ste a
Las Vegas, NV 89121-4385 - Phone
- (702) 456-0220
- Fax
- (702) 456-0229
- NPI assigned
- May 28, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | APN001086 | NV | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | APRN001086 | NV | |
| Nurse Practitioner | 363L00000X | APRN001086 | NV | Primary |
Addresses
Primary practice location
3085 E Flamingo Rd Ste a
Las Vegas, NV 89121-4385
Mailing address
11740 Villa Malaparte Ave
Las Vegas, NV 89138-6013
Phone (702) 574-4197
Other practice location 1
2740 S Jones Blvd
Las Vegas, NV 89146-5306
Phone (702) 248-8866
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN001086 | NV | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Breakthrough | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Henderson, NV
- NPI 1386163756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346475738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11740 VILLA MALAPARTE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891386013",
"telephone_number": "702-574-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3085 E FLAMINGO RD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891214385",
"telephone_number": "702-456-0220",
"fax_number": "702-456-0229"
}
],
"practiceLocations": [
{
"address_1": "2740 S Jones Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891465306",
"country_code": "US",
"telephone_number": "702-248-8866",
"fax_number": "702-248-1339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALYN",
"first_name": "LESLIE",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NV",
"license": "APN001086",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NV",
"license": "APRN001086",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN001086",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.