Kevan Abel Camacho, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

827703 Issued in NV

Practice address

3970 W Ann Rd Ste 100
North Las Vegas, NV 89031-3853

Phone

(702) 747-4799

Fax

(702) 747-4667

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dimuro Facilities Services

  dba DiMuro Pain Management

  • Interventional Pain Medicine Physician
  • N Las Vegas, NV
  • NPI 1265071039
  NPD
• Dimuro Professional Services LLC

  dba DiMuro Pain Management

  • Interventional Pain Medicine Physician
  • N Las Vegas, NV
  • NPI 1083253843
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1740903525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 W ANN RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313852",
            "telephone_number": "702-747-4799",
            "fax_number": "702-747-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W ANN RD STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313853",
            "telephone_number": "702-747-4799",
            "fax_number": "702-747-4667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 W Flamingo Rd Ste A-23",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032334",
            "country_code": "US",
            "telephone_number": "702-474-4799",
            "fax_number": "702-474-4667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "KEVAN",
        "middle_name": "ABEL",
        "name_prefix": "Mr.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "827703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami J Calvano
• Danna Calvario
• Tyler J Calvert, PT, DPT
• Julia Calvillo
• Osleidys Camacho Gonzalez
• Sabina Camacho
• Jose Camargo
• Raymond Anthony Camargo
• Lenise Cambell
• Michelle E Cambridge, MFT- INTERN

• Acute Care Nurse Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Acute Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.