Active NPI
Katelyn Helen Degner, CPO
- Prosthetist
- Las Vegas, NV
National Provider Identifier
1780926428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 810 S Durango Dr Ste 100
Las Vegas, NV 89145-2487 - Phone
- (702) 932-1300
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
810 S Durango Dr Ste 100
Las Vegas, NV 89145-2487
Mailing address
4945 Alondra Dr
Las Vegas, NV 89118-1128
Phone (971) 732-6231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPO04138 | Other | ABC CERTIFICATION NUMBER |
Other names 1
- Katelyn Helen Ell
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Orthotics and Prosthetics LLC | Orthotist | Current | Accepting new patients |
| Wellspring Health Center PLLC | Past | Accepting new patients | |
| Portney Medical Group LTD | Past | Accepting new patients |
Locations
810 S Durango Dr
Ste 100
Las Vegas, NV 89145
Phone (702) 386-6052
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.
-
- Prosthetic/Orthotic Supplier
- Las Vegas, NV
- NPI 1376069229
Orthotist
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1962604884
-
- Medical Specialty Clinic/Center
- Hopkins, MN
- NPI 1235380981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1780926428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4945 ALONDRA DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891181128",
"telephone_number": "971-732-6231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S DURANGO DR STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891452487",
"telephone_number": "702-932-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGNER",
"first_name": "KATELYN",
"middle_name": "HELEN",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC CERTIFICATION NUMBER",
"identifier": "CPO04138",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "ELL",
"middle_name": "HELEN",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.