Life Breakthrough

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN001086 Issued in NV

Legal business name

LIFE BREAKTHROUGH

Practice address

10885 S Eastern Ave
Henderson, NV 89052-5857

Phone

(702) 895-1883

NPI assigned

Sep 16, 2017

Organization subpart

No

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

Authorized official

Name

Leslie Kalyn, DNPNPI 1346475738

Title

President

Phone

(702) 895-1883

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie E Kalyn, APRN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1346475738
  NPD (past) Authorized official

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

{
    "created_epoch": "1505520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505520000000",
    "number": "1386163756",
    "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": "702-895-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10885 S EASTERN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525857",
            "telephone_number": "702-895-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BREAKTHROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-16",
        "last_updated": "2017-09-16",
        "status": "A",
        "authorized_official_last_name": "KALYN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-895-1883",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN001086",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tavon Libete
• Raul Licea
• Hannelore Lieberman
• Robert David Lieberman, M.D.
• Charlene Lien-Salmeron
• Life Change Therapy
• Life Improvement Medical Supply LLC
• Lifeclinic Chiropractic of Nevada LLC
• Lifeclinic Chiropractic of Nevada LLC
• Lifes Challenges a Mental Health Consultant Firm

• Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.