Individual provider Active NPI

Katie Sandvick, CPNP-PC

  • Pediatric Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1568926103
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
834992 Issued in NV
Practice address
2212 S Eastern Ave
Las Vegas, NV 89104-4124
Phone
(702) 735-9334
Fax
(702) 735-9335
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 834992 NV Primary

Addresses

Primary practice location

2212 S Eastern Ave
Las Vegas, NV 89104-4124

Mailing address

3325 Research Way
Carson City, NV 89706-7913
Phone (702) 220-9902

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
I20221110002893 NV Practitioner - Nurse Practitioner 3870960446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
834992NVMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers, Inc CurrentSince Nov 21, 2022 Accepting new patients
Nevada Health Centers, Inc CurrentSince Nov 21, 2022 Accepting new patients

Locations

1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5432

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

618 W Musser St
Carson City, NV 89703
Phone (775) 445-3500

762 14th St
Elko, NV 89801
Phone (775) 738-5850

2212 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 220-9908

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

1799 Mount Mariah Dr
Las Vegas, NV 89106
Phone (702) 383-1961

Interoperability endpoints

  • Direct secure messaging: ksandvick695144@direct.ochin.org
  • Direct secure messaging: katie.sandvick.p1@direct.nevadahealthcenters.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1568926103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913",
            "telephone_number": "702-220-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891044124",
            "telephone_number": "702-735-9334",
            "fax_number": "702-735-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDVICK",
        "first_name": "KATIE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NV",
            "license": "834992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.