Individual provider Active NPI

Kelly Navolt, APRN AGNP-C

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1831503390
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN1735 Issued in NV
Practice address
1781 Village Center Cir Ste 130
Las Vegas, NV 89134-0573
Phone
(702) 530-9966
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN1735 NV Primary

Addresses

Primary practice location

1781 Village Center Cir Ste 130
Las Vegas, NV 89134-0573

Mailing address

1781 Village Center Cir Ste 130
Las Vegas, NV 89134-0573
Phone (702) 530-9966

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
I20150210001969 NV Practitioner - Nurse Practitioner 8729303912 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN1735NVMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Emergency Physicians Harris, PLLC CurrentSince Feb 7, 2017 Accepting new patients

Locations

1409 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 649-7711

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1831503390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 VILLAGE CENTER CIR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340573",
            "telephone_number": "702-530-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 VILLAGE CENTER CIR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340573",
            "telephone_number": "702-530-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVOLT",
        "first_name": "KELLY",
        "credential": "APRN AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "APRN1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.