Kenneth Tam, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP118688 Issued in TX

Practice address

4141 Swenson St
Las Vegas, NV 89119-6718

Phone

(702) 733-0320

NPI assigned

Jan 20, 2010

Last updated

Mar 2, 2019By the provider in NPPES

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Nathan Adelson Hospice Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1639147051
  Medicare reassignment NPD
• Trusted Primary Care

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1114509809
  NPD
• Center for Compassionate Care and Palliative Services Institute

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Las Vegas, NV
  • NPI 1639494867
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Rose de Lima Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)
• Lankford MD PLLC

  • Primary Care Clinic/Center
  • Austin, TX
  • NPI 1043704620
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551484800000",
    "number": "1477884138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9048 HERRING COVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786269",
            "telephone_number": "512-743-1829",
            "fax_number": "512-590-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SWENSON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196718",
            "telephone_number": "702-733-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8133 Mesa Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598655",
            "country_code": "US",
            "telephone_number": "512-291-8076",
            "fax_number": "512-590-7104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 S Jones Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465605",
            "country_code": "US",
            "telephone_number": "702-347-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "KENNETH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2019-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calida Tam, PA-C
• Cung Fang Tam
• Danyse Tam
• Eric Tam, DPT
• Janet May Tam, DO
• Sara C Tam, PHARM D.
• Stephen L Tam, MD
• Yeisa Marcela Tama
• Kali Bahadero Tamang
• Tamara Eve Marcus DPM

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.