Individual provider Active NPI

Kathleen-Rose Bimbo, APRN, FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1760246227
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
821752 Issued in NV
Practice address
1140 N Town Center Dr Ste 100
Las Vegas, NV 89144-0605
Phone
(702) 202-2060
Fax
(702) 605-2892
NPI assigned
Feb 6, 2024
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 821752 NV Primary

Addresses

Primary practice location

1140 N Town Center Dr Ste 100
Las Vegas, NV 89144-0605

Mailing address

1140 N Town Center Dr Ste 100
Las Vegas, NV 89144-0605
Phone (702) 202-2060

Other practice location 1

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 860-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524001286 NV Practitioner - Nurse Practitioner 7911349717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Physicians Kumar PLLCGroup PAC ID 3577893965, 37 clinicians

Practice addresses (Care Compare)

6090 S Fort Apache Rd
Suite 140
Las Vegas, NV 89148-5618
Phone (702) 202-0534

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Physicians (Kumar) PLLC CurrentSince Apr 1, 2024 Accepting new patients
Reliant Physicians (Kumar) PLLC PastSince Sep 24, 2023 Accepting new patients

Locations

1140 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

1180 N Town Center Dr
Ste 100
Las Vegas, NV 89144
Phone (702) 202-2060

6090 S Fort Apache Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 202-0534

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1760246227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440605",
            "telephone_number": "702-202-2060",
            "fax_number": "702-605-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N TOWN CENTER DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440605",
            "telephone_number": "702-202-2060",
            "fax_number": "702-605-2892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280436",
            "country_code": "US",
            "telephone_number": "702-860-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIMBO",
        "first_name": "KATHLEEN-ROSE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "821752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.