Active NPI
Carol Kay Gaidis
- Family Nurse Practitioner
- Henderson, NV
National Provider Identifier
1417436858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 811222
- Practice address
- 1552 W Warm Springs Rd Ste 100
Henderson, NV 89014-4328 - Phone
- (702) 933-5544
- Fax
- (702) 933-5545
- NPI assigned
- Aug 7, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 811222 | NV | Primary |
Addresses
Primary practice location
1552 W Warm Springs Rd Ste 100
Henderson, NV 89014-4328
Mailing address
1552 W Warm Springs Rd Ste 100
Henderson, NV 89014-4328
Phone (702) 933-5544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1417436858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1552 W WARM SPRINGS RD STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890144328",
"telephone_number": "702-933-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1552 W WARM SPRINGS RD STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890144328",
"telephone_number": "702-933-5544",
"fax_number": "702-933-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAIDIS",
"first_name": "CAROL",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "811222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.