Consuelo Aurea Kinahan, B.SC.PHARM, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16677 Issued in NV

Practice address

5320 S Rainbow Blvd Ste 150
Las Vegas, NV 89118

Phone

(702) 944-7105

Fax

(702) 944-7110

NPI assigned

Apr 27, 2015

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD
• Direct secure messaging: consuelo.kinahan.1@25839.direct.athenahealth.com

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.

• Southern Monterey County Memorial Hospital

  dba Mee Memorial Healthcare System

  • Critical Access Hospital
  • King City, CA
  • NPI 1114917564
  Medicare reassignment NPD
• Healthcare Partners Medical Group Coats LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1487631917
  NPD
• Southern Monterey County Memorial Hospital

  dba Broadway Medical Clinic

  • Clinic/Center
  • King City, CA
  • NPI 1336389600
  NPD
• Southern Monterey County Memorial Hospital

  dba Adult Medicine Center

  • Clinic/Center
  • King City, CA
  • NPI 1841501996
  NPD

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1639556855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98978",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938978",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 S RAINBOW BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-944-7105",
            "fax_number": "702-944-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 N Pacific Coast Hwy Ste 3000",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454486",
            "country_code": "US",
            "telephone_number": "818-287-7409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 N. Nellis Blvd.",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89110",
            "country_code": "US",
            "telephone_number": "702-383-6240",
            "fax_number": "702-459-8586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 N Pacific Coast Hwy Ste 3000",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454486",
            "country_code": "US",
            "telephone_number": "818-287-7409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINAHAN",
        "first_name": "CONSUELO",
        "middle_name": "AUREA",
        "name_prefix": "Dr.",
        "credential": "B.SC.PHARM, M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "16677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "16677",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639556855",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Kimbrough
• Arthur Kime, RN
• Lisa Pierce Kimsey, MS
• Michael Tuan Kimura, MD
• Tanya Kimwanga
• Phet Kinaphone
• Erin Leigh Kinard, NCC, LCADC
• Natiwa Kinares
• Shadell Aneice Kincade
• Kristen Kincaid, OTR/L MOT

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.