NPIMap

Individual provider Active NPI

Kristin A Taniguchi

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1477136307
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
894768 Issued in NV
Practice address
1135 Vitality Dr Ste 120
Henderson, NV 89011-4809
Phone
(702) 359-7403
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017066 CA
Nurse Practitioner 363L00000X 894768 NV Primary
Family Nurse Practitioner 363LF0000X 351309 NY

Addresses

Primary practice location

1135 Vitality Dr Ste 120
Henderson, NV 89011-4809

Mailing address

1135 Vitality Dr Ste 120
Henderson, NV 89011-4809
Phone (702) 359-7403

Other names 1

  • Kristin Alyse Taniguchi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230421000276 NY Practitioner - Nurse Practitioner 8426413709 Reassigns benefits to 1 organization
I20260528002724 NV Practitioner - Nurse Practitioner 8426413709

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Khakwani Medical Corporation PCGroup PAC ID 7214207141, 13 clinicians
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

Practice addresses (Care Compare)

1135 Vitality Dr
Suite 120
Henderson, NV 89011-4809
Phone (702) 359-7403

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

1444 Western Ave
Suite B 2
Albany, NY 12203-3440
Phone (518) 458-8014

Hospital & facility affiliations

  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Sunnyview Hospital and Rehabilitation Center Hospital, Schenectady, NY, CCN 330406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017066CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Nurse Practitioner CurrentSince May 29, 2023 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Nurse Practitioner Past Accepting new patients

Locations

1444 Western Ave
Ste B2
Albany, NY 12203
Phone (518) 458-2611

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1477136307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 VITALITY DR STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114809",
            "telephone_number": "702-359-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 VITALITY DR STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114809",
            "telephone_number": "702-359-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIGUCHI",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017066",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "894768",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "TANIGUCHI",
            "middle_name": "ALYSE",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.