NPIMap

Individual provider Active NPI

Katrinka T Kip, MD

  • Pediatric Cardiology Physician
  • Reno, NV
National Provider Identifier
1982687208
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
8853 Issued in NV
Practice address
85 Kirman Ave Ste 401
Reno, NV 89502-1360
Phone
(775) 324-6644
Fax
(775) 322-4748
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 8853 NV Primary

Addresses

Primary practice location

85 Kirman Ave Ste 401
Reno, NV 89502-1360

Mailing address

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

Other practice location 1

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone (702) 732-1290

Other identifiers 4

IdentifierTypeStateIssuer
NV7377OtherBLUE CROSS BLUE SHIELD
VWCLCQOtherNVMEDICARE GROUP
XPY191681OtherMEDI-CAL
002016475MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000141 NV Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 2062309255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Neal Evans MD LTDGroup PAC ID 7012804263, 17 clinicians

Practice addresses (Care Compare)

85 Kirman Ave
Suite 401
Reno, NV 89502-1360
Phone (775) 324-6644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50571CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William Neal Evans, MD, LTD Pediatric Cardiology CurrentSince Apr 5, 1999 Accepting new patients
William Neal Evans MD LTD Pediatric Cardiology CurrentSince Apr 5, 1999 Accepting new patients
Dignity Health Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Humboldt General Hospital Pharmacy Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

3006 S Maryland Pkwy
Ste 690
Las Vegas, NV 89109
Phone (702) 732-1290

3131 La Canada St
Ste 230
Las Vegas, NV 89169
Phone (702) 732-1290

85 Kirman Ave
Ste 401
Reno, NV 89502
Phone (702) 329-0222

1500 E 2nd St
Ste 407
Reno, NV 89502
Phone (775) 324-6644

6630 S McCarran Blvd
Ste 14
Reno, NV 89509
Phone (775) 828-8200

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1982687208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692551",
            "telephone_number": "702-732-1290",
            "fax_number": "702-260-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KIRMAN AVE STE 401",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021360",
            "telephone_number": "775-324-6644",
            "fax_number": "775-322-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 La Canada St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891692551",
            "country_code": "US",
            "telephone_number": "702-732-1290",
            "fax_number": "702-260-1926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIP",
        "first_name": "KATRINKA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NV",
            "license": "8853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NV7377",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "VWCLCQ",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "XPY191681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016475",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.