Individual provider Active NPI

Katelan Allison Panetta, DO

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1447953559
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0102210261 Issued in VA
Practice address
1701 W Charleston Blvd Ste 670
Las Vegas, NV 89102-2343
Phone
(702) 701-3839
NPI assigned
Mar 27, 2023
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102210261 VA Primary

Addresses

Primary practice location

1701 W Charleston Blvd Ste 670
Las Vegas, NV 89102-2343

Mailing address

1701 W Charleston Blvd Ste 670
Las Vegas, NV 89102-2343
Phone (702) 701-3839

Other practice location 1

120 N Commerce Ave Ste 103
Front Royal, VA 22630-2683
Phone (540) 631-7337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpanetta1512962@ValleyHealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820003628 NV Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3476091547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1447953559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 670",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022343",
            "telephone_number": "702-701-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 670",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022343",
            "telephone_number": "702-701-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Commerce Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302683",
            "country_code": "US",
            "telephone_number": "540-631-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANETTA",
        "first_name": "KATELAN",
        "middle_name": "ALLISON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102210261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpanetta1512962@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "120 N Commerce Ave Ste 103",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.