Active NPI
Kenisha Renea Tapia, DO
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1386152148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO4054
- Practice address
- 8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138 - Phone
- (702) 790-2701
- Fax
- (702) 790-2706
- NPI assigned
- Jan 15, 2018
- Reactivated
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO4054 | NV | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Behavior Technician | 106S00000X | 00004275 | CA |
Addresses
Primary practice location
8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138
Mailing address
8950 W Tropicana Ave Ste 1
Las Vegas, NV 89147-8138
Phone (702) 790-2701
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220803003204 | NV | Order and Referring Only - Psychiatry | 4880076017 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00004275 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1386152148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 W TROPICANA AVE STE 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478138",
"telephone_number": "702-790-2701",
"fax_number": "702-790-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 W TROPICANA AVE STE 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478138",
"telephone_number": "702-790-2701",
"fax_number": "702-790-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIA",
"first_name": "KENISHA",
"middle_name": "RENEA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"deactivation_date": "2022-04-04",
"reactivation_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "DO4054",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "00004275",
"primary": false
}
],
"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 Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.