Individual provider Active NPI

Krista Lynn Hamlin, APRN, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1770151706
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
842816 Issued in NV
Practice address
8431 Benidorm Ave
Las Vegas, NV 89178-4805
Phone
(702) 510-0453
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 842816 NV Primary

Addresses

Primary practice location

8431 Benidorm Ave
Las Vegas, NV 89178-4805

Mailing address

8431 Benidorm Ave
Las Vegas, NV 89178-4805
Phone (702) 510-0453

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
I20211011001301 NV Practitioner - Nurse Practitioner 7810395597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Paul Wiesner and Associates CharteredGroup PAC ID 4880679976, 24 clinicians

Practice addresses (Care Compare)

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5585

Hospital & facility affiliations

  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
842816NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Medical Imaging, LLC CurrentSince Mar 1, 2023 Accepting new patients
J Paul Wiesner & Associates Chartered CurrentSince Mar 1, 2023 Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

8551 W Lake Mead Blvd
Ste 150
Las Vegas, NV 89128
Phone (702) 683-5516

2628 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 644-0500

5495 S Rainbow Blvd
Ste 101
Las Vegas, NV 89118
Phone (702) 214-9729

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.

Hospital & facility affiliations 4

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1770151706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 BENIDORM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784805",
            "telephone_number": "702-510-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8431 BENIDORM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891784805",
            "telephone_number": "702-510-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "842816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.