Karli Penrod, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

100278652 Issued in NV

Practice address

9499 W Charleston Blvd
Las Vegas, NV 89117-7150

Phone

(702) 933-9393

Fax

(702) 933-6789

NPI assigned

Jan 10, 2025

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1629888771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 W CHARLESTON BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177147",
            "telephone_number": "702-933-9393",
            "fax_number": "702-933-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177150",
            "telephone_number": "702-933-9393",
            "fax_number": "702-933-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENROD",
        "first_name": "KARLI",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NV",
            "license": "100278652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earlene Penniston
• Sterling Penniston
• Theresa Penny
• Pennywell Behavioral Health Center
• Bryan Pennywell
• Kathryn Penrose
• Kelsey Anne Penrose
• Pension Plus LLC
• Conner Pensivy, DR.
• Scott Robert Pensivy, P.T.

• Surgical Technologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgical Technologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.