Individual provider Active NPI

Kachirri Gunn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1376336180
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
841508 Issued in NV
Practice address
98 E Lake Mead Pkwy Ste 307
Henderson, NV 89015-6444
Phone
(702) 433-3038
NPI assigned
May 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 841508 NV Primary

Addresses

Primary practice location

98 E Lake Mead Pkwy Ste 307
Henderson, NV 89015-6444

Mailing address

981 Wembly Hills PL
Henderson, NV 89011-2566
Phone (702) 755-3866

Other practice location 1

981 Wembly Hills Pl
Henderson, NV 89011-2566
Phone (702) 755-3866

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818002088 NV Practitioner - Nurse Practitioner 5496254344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bamboo Family Clinic LLCGroup PAC ID 9830565498, 4 clinicians

Practice addresses (Care Compare)

98 E Lake Mead Pkwy
Suite 307
Henderson, NV 89015-6444
Phone 70248329693007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
841508NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bamboo Family Clinic LLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

98 E Lake Mead Pkwy
Ste 307
Henderson, NV 89015
Phone (702) 483-2969

98 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 478-7836

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.

NPI Registry JSON

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1376336180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WEMBLY HILLS PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112566",
            "telephone_number": "702-755-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E LAKE MEAD PKWY STE 307",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156444",
            "telephone_number": "702-433-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 Wembly Hills Pl",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890112566",
            "country_code": "US",
            "telephone_number": "702-755-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "KACHIRRI",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "841508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.