Active NPI
Woinshet D Kerse
- Licensed Practical Nurse
- Las Vegas, NV
National Provider Identifier
1548031388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 15949
- Practice address
- 3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946 - Phone
- (702) 560-2192
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 15949 | NV | Primary |
Addresses
Primary practice location
3930 Howard Hughes Pkwy Ste 300
Las Vegas, NV 89169-0946
Mailing address
7472 Mission Palm St
N/a
Las Vegas, NV 89139
Phone (310) 272-0989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15949 | NV | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1548031388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7472 MISSION PALM ST",
"address_2": "N/A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89139",
"telephone_number": "310-272-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 HOWARD HUGHES PKWY STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891690946",
"telephone_number": "702-560-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSE",
"first_name": "WOINSHET",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NV",
"license": "15949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.