Individual provider Active NPI

Kam-Lin D Gregory, APRN-CNM

  • Advanced Practice Midwife
  • Henderson, NV
National Provider Identifier
1780135145
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
852141 Issued in NV
Practice address
3039 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-4193
Phone
(702) 478-5111
Fax
(702) 602-9012
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 852141 NV Primary

Addresses

Primary practice location

3039 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-4193

Mailing address

10624 S Eastern Ave Ste a-873
Henderson, NV 89052-2982
Phone (702) 478-5111

Other practice location 1

870 Seven Hills Dr Ste 103
Henderson, NV 89052-4378
Phone (725) 777-0414

Other names 1

  • Kam-Lin Fansler Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622001079 NV Practitioner - Certified Nurse Midwife (CNM) 5294011995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

Practice addresses (Care Compare)

870 Seven Hills Dr
Suite 103
Henderson, NV 89052-4378
Phone (725) 777-0414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
852141NVMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Iriye Medical Group PLLC CurrentSince Oct 13, 2025 Accepting new patients
Las Vegas Medical Group LLC Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Henderson Hospital Past Accepting new patients

Locations

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

870 Seven Hills Dr
Ste 103
Henderson, NV 89052
Phone (702) 678-4658

1389 Galleria Dr
Ste 100
Henderson, NV 89014
Phone (725) 333-8400

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
  • Direct secure messaging: kam-lin.gregory.1@27017.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1780135145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A-873",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-478-5111",
            "fax_number": "702-602-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524193",
            "telephone_number": "702-478-5111",
            "fax_number": "702-602-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Seven Hills Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524378",
            "country_code": "US",
            "telephone_number": "725-777-0414",
            "fax_number": "702-565-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "KAM-LIN",
        "middle_name": "D",
        "credential": "APRN-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "852141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAM-LIN",
            "last_name": "FANSLER",
            "credential": "APRN-CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.