Individual provider Active NPI

Katherine D Travnicek, MD

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1356467831
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
15784 Issued in NV
Practice address
6064 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5350
Phone
(702) 940-8007
Fax
(702) 832-1940
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 15784 NV
Interventional Pain Medicine Physician 208VP0014X 15784 NV Primary

Addresses

Primary practice location

6064 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5350

Mailing address

PO Box 400670
Las Vegas, NV 89140-0670
Phone (702) 940-8007

Other practice location 1

7435 W Azure Dr Ste 190
Las Vegas, NV 89130-4427
Phone (702) 940-8007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712000555 NV Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 4880863224

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6064 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15784NVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J H Daulat DO PC PastSince Jan 1, 2023 Accepting new patients
Fort Apache Surgery Center, LLC PastSince Oct 17, 2021 Accepting new patients
Battle-Born Psychological Services, LLC PastSince Nov 1, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1356467831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400670",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891400670",
            "telephone_number": "702-940-8007",
            "fax_number": "701-832-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6064 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485350",
            "telephone_number": "702-940-8007",
            "fax_number": "702-832-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7435 W Azure Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891304427",
            "country_code": "US",
            "telephone_number": "702-940-8007",
            "fax_number": "702-832-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVNICEK",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "15784",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "15784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.