Active NPI
Kayle Rayne Haderlie
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 835624
- Practice address
- 6900 N Durango Dr
Las Vegas, NV 89149-4409 - Phone
- (702) 835-9700
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 835624 | NV | |
| Certified Registered Nurse Anesthetist | 367500000X | 835624 | NV | Primary |
Addresses
Primary practice location
6900 N Durango Dr
Las Vegas, NV 89149-4409
Mailing address
1100 Turtle Creek Dr Apt 214
Naples, FL 34110-2200
Phone (702) 606-3224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210201000369 | NV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9537573670 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2565 E Flamingo Rd
Las Vegas, NV 89121-5203
Phone (702) 697-7900
8656 W Patrick LN
Las Vegas, NV 89148-5043
Phone (702) 777-7100
9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2100
Hospital & facility affiliations
- Southern Hills Hospital and Medical Center
- Spring Valley Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835624 | NV | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Anesthesiology Consultants-Beckett-PLLC | Current | Accepting new patients |
Locations
10120 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 487-6880
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900
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.
-
- Anesthesiology Physician
- Henderson, NV
- NPI 1437326857
NV
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1699710749
NV
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1710583141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 TURTLE CREEK DR APT 214",
"city": "NAPLES",
"state": "FL",
"postal_code": "341102200",
"telephone_number": "702-606-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 N DURANGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494409",
"telephone_number": "702-835-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADERLIE",
"first_name": "KAYLE",
"middle_name": "RAYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NV",
"license": "835624",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "835624",
"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 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.