Individual provider Active NPI

Beata Joanna Kwiatkowska, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1427419316
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
9542 Issued in NV
Practice address
2937 Channel Bay Dr
Las Vegas, NV 89128-7288
Phone
(702) 306-5140
NPI assigned
Mar 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 9542 NV Primary

Addresses

Primary practice location

2937 Channel Bay Dr
Las Vegas, NV 89128-7288

Mailing address

2937 Channel Bay Dr
Las Vegas, NV 89128-7288
Phone (702) 306-5140

Other names 1

  • Beata Joanna Kwiatkowska Professional name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9542NVMDClinical Pathology/Laboratory Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1427419316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 CHANNEL BAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287288",
            "telephone_number": "702-306-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 CHANNEL BAY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287288",
            "telephone_number": "702-306-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOWSKA",
        "first_name": "BEATA",
        "middle_name": "JOANNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NV",
            "license": "9542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEATA",
            "last_name": "KWIATKOWSKA",
            "middle_name": "JOANNA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 18, 2016; 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.