Kathya Abigail Jimenez Landaverde, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

745 W Moana LN Ste 300
Reno, NV 89509-4980

Phone

(775) 391-0632

NPI assigned

Mar 26, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kjimenezlandaverde214193@direct.renown.org

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1831991397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094980",
            "telephone_number": "775-391-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ LANDAVERDE",
        "first_name": "KATHYA",
        "middle_name": "ABIGAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joell Marie Jex
• Jhoanna T Manalo
• Kaiwen Jiang, DNP
• Jillian L. Milke, Physical Therapy, PLLC Rethinking Physical Therapy
• Jim Kirk, Eds, MFT
• Arminda Jimenez
• Carlos Jimenez
• Elsie Marie Jimenez, APRN
• Joshua Daniel Jimenez
• Marayah Jimenez

• All providers in Reno, NV
• Student in an Organized Health Care Education/Training Program in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.