Kyle Pratt Nielson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5547 Issued in NV

Practice address

VA Southern Nevada Healthcare System
6900 North Pecos Road
North Las Vegas, NV 89086-4400

Phone

(702) 799-9000

Fax

(702) 224-6937

NPI assigned

Jul 29, 2005

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kyle Pratt Hanks Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• State of California - Department of Developmental Services

  dba Lanterman Developmental Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1154372498
  Medicare reassignment NPD
• Agnews Community Clinic

  • Developmental Disabilities Clinic/Center
  • San Jose, CA
  • NPI 1710148515
  NPD
• State of California - Department of Developmental Services

  dba Canyon Springs Community Facility

  • Intellectual Disabilities Intermediate Care Facility
  • Cathedral City, CA
  • NPI 1730130097
  NPD
• Sdmi, LLC

  dba Steinberg Diagnostic Medical Imaging

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1568462034
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1770583726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9790 BRIGHT ANGEL WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491332",
            "telephone_number": "702-235-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA SOUTHERN NEVADA HEALTHCARE SYSTEM",
            "address_2": "6900 NORTH PECOS ROAD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-799-9000",
            "fax_number": "702-224-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "KYLE",
        "middle_name": "PRATT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "5547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200262806",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "HANKS",
            "middle_name": "PRATT",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicksonhomes LLC
• Amanda Rarogal Nicolas
• Marlyn Lagman Nicolas, PHARM.D.
• Daniel Nicolaus, DC
• Nicole R Vaughn Changing Minds (Changing Minds Psychiatry)
• Nina Loene Niemeyer, D.O.
• Yailen Nieto-Enamorado
• Davis M Nieves Quinones
• Christian Nieves
• Nightingale Home Health LLC (Recovery Home Health Agency)

• Diagnostic Radiology Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.

Verify at the official NPI Registry.