NPIMap

Individual provider Active NPI

Kamin Beth Vanguilder, MD

  • Family Medicine Physician
  • Lovelock, NV
National Provider Identifier
1467696310
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14457 Issued in NV
Practice address
855 6TH St.
Lovelock, NV 89419-0661
Phone
(775) 273-2918
Fax
(775) 273-5095
NPI assigned
Apr 22, 2009
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A113185 CA
Family Medicine Physician 207Q00000X 14457 NV Primary

Addresses

Primary practice location

855 6TH St.
Lovelock, NV 89419-0661

Mailing address

PO Box 661
Lovelock, NV 89419-0661
Phone (775) 273-2918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130523000235 NV Practitioner - Family PracticePractitioner - Emergency Medicine 8628216173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pershing General HospitalGroup PAC ID 7012825433, 13 clinicians

Practice addresses (Care Compare)

855 6TH St
Lovelock, NV 89419-8020
Phone 77527326211201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113185CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pershing General Hospital CurrentSince Nov 1, 2013 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pershing General HospitalLovelock, NV, CCN 291304 Hospital Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 Oct 1, 2024
Oct 1, 2024
Oct 1, 2024
Pershing General HospitalLovelock, NV, CCN 29Z304 Hospital Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 Oct 1, 2024
Oct 1, 2024
Oct 1, 2024
Pershing General SNFLovelock, NV, CCN 295000 Skilled nursing facility Corporate Director
Operational/Managerial Control
Trustee of the SNF
Adp of the SNF		 Dec 26, 2013
Dec 26, 2013
Dec 26, 2013
Dec 26, 2013
Pershing General HospitalLovelock, NV, CCN 293981 Rural health clinic Corporate Director
W-2 Managing Employee		 Jul 31, 2024
Jul 31, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1467696310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "894190661",
            "telephone_number": "775-273-2918",
            "fax_number": "775-273-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 6TH ST.",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "894190661",
            "telephone_number": "775-273-2918",
            "fax_number": "775-273-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGUILDER",
        "first_name": "KAMIN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A113185",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovelock, NV

Sources for this page

Verify at the official NPI Registry.