Active NPI
Kimberly Denise McDonald
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1447832845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- CNA027615
- Practice address
- 5150 E Sahara Ave Apt 262
Las Vegas, NV 89142-2517 - Phone
- (702) 504-5155
- NPI assigned
- Apr 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CNA027615 | NV | Primary |
Addresses
Primary practice location
5150 E Sahara Ave Apt 262
Las Vegas, NV 89142-2517
Mailing address
5150 E Sahara Ave Apt 262
Las Vegas, NV 89142-2517
Phone (702) 504-5155
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA027615 | NV | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619308800000",
"number": "1447832845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 E SAHARA AVE APT 262",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891422517",
"telephone_number": "702-504-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 E SAHARA AVE APT 262",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891422517",
"telephone_number": "702-504-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KIMBERLY",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-25",
"last_updated": "2021-04-25",
"certification_date": "2021-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "CNA027615",
"primary": true
}
],
"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 Apr 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.