Pamela M McKibben

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Practice address

3155 E Patrick LN
Suite 1
Las Vegas, NV 89120-3496

Phone

(702) 992-0576

NPI assigned

Sep 26, 2013

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1659708303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 PARADISE RD",
            "address_2": "BLDG. 23 APT. 2047",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194473",
            "telephone_number": "702-277-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E PATRICK LN",
            "address_2": "SUITE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203496",
            "telephone_number": "702-992-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "PAMELA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela McKenzie
• Tearra Monquie McKenzie
• Tonya McKenzie
• Trivion McKenzie
• Nakia McKibben
• Johanna McKiddy
• Kelonie McKines
• Tyloni Monea McKines
• Daviell McKinley
• Grace L McKinley, MHS

• Foster Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foster Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.