Kimberly S. Landero, LISAC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

01344 Issued in NV

Practice address

730 N Eastern Ave Ste 100
Las Vegas, NV 89101-2885

Phone

(702) 598-2020

Fax

(702) 598-2018

NPI assigned

Feb 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1396923249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012885",
            "telephone_number": "702-598-2020",
            "fax_number": "702-598-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012885",
            "telephone_number": "702-598-2020",
            "fax_number": "702-598-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDERO",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-02",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00334-LC",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01344",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "10263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISAC",
            "identifier": "10263",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andy Alexander Landaverde
• Ibania Vanessa Landaverde
• Senayda Isabel Landaverde
• Paul S Landaz, MS
• Ann Landberg
• Priscilla Monique Landero
• Jeaneth Landeros Montalvo
• Guillermo Landeros Jr.
• Jocelyne Landeros
• Laura Landeros

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.