Kalann Markey Sim

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4100 North Martin Luther King Blvd
Ste 100
N. Las Vegas, NV 89032

Phone

(702) 522-7800

Fax

(702) 974-1264

NPI assigned

Oct 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1477853489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NORTH MARTIN LUTHER KING BLVD",
            "address_2": "STE 100",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-522-7800",
            "fax_number": "702-974-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NORTH MARTIN LUTHER KING BLVD",
            "address_2": "STE 100",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-522-7800",
            "fax_number": "702-974-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "KALANN",
        "middle_name": "MARKEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Sherlin
• Marcia J Sherrod
• Shivay Saran International Chartered
• Tahari Shortridge
• Jacklyn Siagatonu
• Kellyandrew M Simeus
• Christopher Simmons
• Jacci Simon
• Eboni Simpson
• Jeffrey Rhashod Sims

• Community Health Worker in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.