Active NPI
Kareen Khamo Marashi, PAC
- Physician Assistant
- Henderson, NV
National Provider Identifier
1891374104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2712
- Practice address
- St Rose Pediatrics
2350 West Horizon Ridge Parkway
Henderson, NV 89052 - Phone
- (702) 564-8556
- Fax
- (702) 564-4485
- NPI assigned
- Apr 5, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2712 | NV | Primary |
| Physician Assistant | 363A00000X | PA14791 | TX |
Addresses
Primary practice location
St Rose Pediatrics
2350 West Horizon Ridge Parkway
Henderson, NV 89052
Mailing address
St Rose Pediatrics
2350 West Horizon Ridge Parkway
Henderson, NV 89052
Phone (702) 564-8556
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2712 | NV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672444800000",
"number": "1891374104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST ROSE PEDIATRICS",
"address_2": "2350 WEST HORIZON RIDGE PARKWAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-564-8556",
"fax_number": "702-564-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST ROSE PEDIATRICS",
"address_2": "2350 WEST HORIZON RIDGE PARKWAY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-564-8556",
"fax_number": "702-564-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARASHI",
"first_name": "KAREEN",
"middle_name": "KHAMO",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2022-12-31",
"certification_date": "2022-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2712",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.