Active NPI
Kittra T Owens, DPM
- Foot & Ankle Surgery Podiatrist
- North Las Vegas, NV
National Provider Identifier
1699950964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301015
- Practice address
- 6900 North Pecos Road
VA Southern Nevada Healthcare System
North Las Vegas, NV 89086 - Phone
- (702) 791-9000
- Fax
- (702) 224-6950
- NPI assigned
- Jan 7, 2008
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301015 | VA | Primary |
Addresses
Primary practice location
6900 North Pecos Road
VA Southern Nevada Healthcare System
North Las Vegas, NV 89086
Mailing address
6900 North Pecos Road
VA Southern Nevada Healthcare System
North Las Vegas, NV 89086
Phone (702) 791-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1699950964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 NORTH PECOS ROAD",
"address_2": "VA SOUTHERN NEVADA HEALTHCARE SYSTEM",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89086",
"telephone_number": "702-791-9000",
"fax_number": "702-224-6950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 NORTH PECOS ROAD",
"address_2": "VA SOUTHERN NEVADA HEALTHCARE SYSTEM",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89086",
"telephone_number": "702-791-9000",
"fax_number": "702-224-6950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "KITTRA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.