Individual provider Active NPI

Kayla Malnar, CST

  • Surgical Technologist
  • Henderson, NV
National Provider Identifier
1548749997
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
180736 Issued in NV
Practice address
10561 Jeffreys St Ste 230
Henderson, NV 89052-4268
Phone
(702) 565-6565
Fax
(702) 565-8898
NPI assigned
Aug 7, 2018
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 180736 NV Primary

Addresses

Primary practice location

10561 Jeffreys St Ste 230
Henderson, NV 89052-4268

Mailing address

10561 Jeffreys St Ste 230
Henderson, NV 89052-4268
Phone (702) 565-6565

Other identifiers 1

IdentifierTypeStateIssuer
180736OtherNVNATIONAL BOARD OF SURGICAL TECHNOLOGY

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

LicenseStateTypeSpecialty
180736NVMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1548749997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524268",
            "telephone_number": "702-565-6565",
            "fax_number": "702-565-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 230",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524268",
            "telephone_number": "702-565-6565",
            "fax_number": "702-565-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALNAR",
        "first_name": "KAYLA",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NV",
            "license": "180736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF SURGICAL TECHNOLOGY",
            "identifier": "180736",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.