Active NPI
Kirstin Ann Keilty, MS, CNS
- Nutrition Education Nutritionist
- Las Vegas, NV
National Provider Identifier
1679867980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 7010
- Practice address
- 8441 Bay Crest Dr
Las Vegas, NV 89128-7187 - Phone
- (702) 266-7279
- Fax
- (702) 562-3775
- NPI assigned
- Jun 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 7010 | CT | Primary |
Addresses
Primary practice location
8441 Bay Crest Dr
Las Vegas, NV 89128-7187
Mailing address
8441 Bay Crest Dr
Las Vegas, NV 89128-7187
Phone (702) 266-7279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7010 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1679867980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8441 BAY CREST DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287187",
"telephone_number": "702-266-7279",
"fax_number": "702-562-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8441 BAY CREST DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287187",
"telephone_number": "702-266-7279",
"fax_number": "702-562-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEILTY",
"first_name": "KIRSTIN",
"middle_name": "ANN",
"credential": "MS, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CT",
"license": "7010",
"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 Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.