Individual provider Active NPI

Kristie Essa, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1891190328
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001841 Issued in NV
Practice address
9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042
Phone
(888) 803-3370
Fax
(888) 803-3331
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN10021099 NV
Family Nurse Practitioner 363LF0000X 10021099 OR
Family Nurse Practitioner 363LF0000X APRN001841 NV Primary

Addresses

Primary practice location

9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042

Mailing address

220 Meadow Brook Dr
Reno, NV 89519-2174
Phone (775) 250-5701

Other practice location 1

2175 NW Raleigh St Ste 110
Portland, OR 97210-2392
Phone (888) 803-3370

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
I20150206000197 NV Practitioner - Nurse Practitioner 6608191028 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN10021099NVMDFamily Nurse Practitioner
10021099ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Medical Group Inc. Current Accepting new patients
Carbon Health Alpha Medical Group of Florida PA CurrentSince Jan 21, 2023 Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

5067 S McCarran Blvd
Reno, NV 89502
Phone (775) 298-5379

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1891190328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MEADOW BROOK DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895192174",
            "telephone_number": "775-250-5701",
            "fax_number": "888-803-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 253",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238042",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 NW Raleigh St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972102392",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESSA",
        "first_name": "KRISTIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN10021099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10021099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.