Individual provider Active NPI

Kathryn Caroline Kramer, CEP

  • Clinical Exercise Physiologist
  • Las Vegas, NV
National Provider Identifier
1780303610
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
1064812
Practice address
7375 Prairie Falcon Rd Ste 120
Las Vegas, NV 89128-0810
Phone
(702) 869-4401
Fax
(702) 869-9904
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X 1064812 Primary

Addresses

Primary practice location

7375 Prairie Falcon Rd Ste 120
Las Vegas, NV 89128-0810

Mailing address

5155 S Durango Dr Ste 101
Las Vegas, NV 89113-0174
Phone (702) 869-4401

Other practice location 1

7730 W Cheyenne Ave Ste 105
Las Vegas, NV 89129-8411
Phone (702) 869-4401

Other practice location 2

2298 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-2697
Phone (702) 869-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Mountain Rehab, LLC PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 1

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1780303610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 S DURANGO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130174",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 PRAIRIE FALCON RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280810",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7730 W Cheyenne Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891298411",
            "country_code": "US",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2298 W Horizon Ridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890522697",
            "country_code": "US",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "KATHRYN",
        "middle_name": "CAROLINE",
        "credential": "CEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": "1064812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.