Individual provider Active NPI

Kristine Rebecca Leavitt, A.P.R.N.

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1669732434
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001381 Issued in NV
Practice address
7469 W Lake Mead Blvd Ste 200
Las Vegas, NV 89128-1045
Phone
(702) 380-8300
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN001381 NV Primary

Addresses

Primary practice location

7469 W Lake Mead Blvd Ste 200
Las Vegas, NV 89128-1045

Mailing address

264 Casa Robles St
Henderson, NV 89012-4827
Phone (702) 249-9747

Other practice location 1

1501 S Eastern Ave
Las Vegas, NV 89104-3916
Phone (702) 778-7614

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
I20120712000285 NV Practitioner - Nurse Practitioner 4880859164 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001381NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group (Coats) LTD. PastSince Mar 22, 2019 Accepting new patients

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1669732434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 CASA ROBLES ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124827",
            "telephone_number": "702-249-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7469 W LAKE MEAD BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281045",
            "telephone_number": "702-380-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891043916",
            "country_code": "US",
            "telephone_number": "702-778-7614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "KRISTINE",
        "middle_name": "REBECCA",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.