Individual provider Active NPI

Katherine Lynn Bieneman

  • Certified Registered Nurse Anesthetist
  • Las Vegas, NV
National Provider Identifier
1659967206
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
835083 Issued in NV
Practice address
9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone
(702) 878-0070
Fax
(702) 209-2064
NPI assigned
Dec 17, 2020
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 835083 NV Primary

Addresses

Primary practice location

9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253

Mailing address

PO Box 840857
Dallas, TX 75284-0857
Phone (702) 878-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210128001160 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204240534 Reassigns benefits to 3 organizations
I20250728001734 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204240534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants, LTD CurrentSince Apr 1, 2022 Accepting new patients
Collins Carson City Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 9, 2023 Accepting new patients
Digestive Health Associates CurrentSince Dec 27, 2022 Accepting new patients
Western Maryland Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Arizona Anesthesia Consultants, Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2020 Accepting new patients

Locations

1040 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 258-1521

7115 Guilford Dr
Ste 201
Frederick, MD 21704
Phone (301) 682-6261

1385 Vista Ln
Carson City, NV 89703
Phone (775) 329-4600

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600

655 Sierra Rose Dr
Reno, NV 89511
Phone (775) 829-7600

880 Ryland St
Reno, NV 89502
Phone (775) 329-4600

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1659967206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840857",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840857",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481253",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENEMAN",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "835083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.