Organization Active NPI

Kapono LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1689237687
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KAPONO LLC
Practice address
3430 E Russell Rd # 301-87
Las Vegas, NV 89120-2201
Phone
(702) 773-9771
NPI assigned
Apr 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Melissa Waiters
Title
Owner
Phone
(702) 773-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3430 E Russell Rd # 301-87
Las Vegas, NV 89120-2201

Mailing address

908 Torington Dr
Las Vegas, NV 89108-1829
Phone (702) 773-4892

National Provider Directory

National Provider Directory

Locations

3430 E Russell Rd
#30187
Las Vegas, NV 89120
Phone (702) 773-9771

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1689237687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 TORINGTON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081829",
            "telephone_number": "702-773-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E RUSSELL RD # 301-87",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202201",
            "telephone_number": "702-773-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPONO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "WAITERS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-773-9771"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Apr 16, 2019; 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.