Individual provider Active NPI

June Kern, RN

  • Alzheimer Center (Dementia Center)
  • Las Vegas, NV
National Provider Identifier
1902465644
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
59AGC22 Issued in NV
Practice address
4125 N Butler St
Las Vegas, NV 89129-4864
Phone
(702) 655-5557
Fax
(702) 655-2743
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 4937AGC11 NV
Alzheimer Center (Dementia Center) 311500000X 6083AGC6 NV
Alzheimer Center (Dementia Center) 311500000X 59AGC22 NV Primary

Addresses

Primary practice location

4125 N Butler St
Las Vegas, NV 89129-4864

Mailing address

4125 N Butler St
Las Vegas, NV 89129-4864
Phone (702) 655-5557

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4937AGC11NVMDAlzheimer Center (Dementia Center)
59AGC22NVMDAlzheimer Center (Dementia Center)
6083AGC6NVMDAlzheimer Center (Dementia Center)

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1902465644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 N BUTLER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294864",
            "telephone_number": "702-655-5557",
            "fax_number": "702-655-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 N BUTLER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294864",
            "telephone_number": "702-655-5557",
            "fax_number": "702-655-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NV",
            "license": "4937AGC11",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NV",
            "license": "6083AGC6",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NV",
            "license": "59AGC22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.