Individual provider Active NPI

Cathaline L Pearson, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1508821281
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-C0156 Issued in NV
Practice address
9310 S Eastern Ave
Suite 122
Las Vegas, NV 89123-6843
Phone
(702) 489-3300
Fax
(702) 410-9143
NPI assigned
Apr 18, 2006
Last updated
Sep 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA895 NV
Medical Physician Assistant 363AM0700X PA-C0156 NV Primary
Medical Physician Assistant 363AM0700X 2937 AZ

Addresses

Primary practice location

9310 S Eastern Ave
Suite 122
Las Vegas, NV 89123-6843

Mailing address

PO Box 34934
Las Vegas, NV 89133-4934

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060530000106 NV Practitioner - Physician Assistant 3678463619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2937AZMDOccupational Therapist
PA-C0156NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
KDMD, LLC Current Accepting new patients
Greg Fihn DO LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cathaline.pearson@mountainviewprimarycare.direct.allegiancemd.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1508821281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34934",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891334934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 S EASTERN AVE",
            "address_2": "SUITE 122",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236843",
            "telephone_number": "702-489-3300",
            "fax_number": "702-410-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CATHALINE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA895",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA-C0156",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.