Individual provider Active NPI

Kristine Jennifer Naval Andres, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1992360598
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
819061 Issued in NV
Practice address
1601 E Flamingo Rd Ste E18
Las Vegas, NV 89119-5244
Phone
(702) 958-0996
Fax
(702) 965-2216
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 819061 NV Primary

Addresses

Primary practice location

1601 E Flamingo Rd Ste E18
Las Vegas, NV 89119-5244

Mailing address

8061 Bosco Bay Ave
Las Vegas, NV 89113-6635
Phone (702) 606-3731

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
I20190702000787 NV Practitioner - Nurse Practitioner 8224362892 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
819061NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Clinics of Nevada LLC CurrentSince Feb 10, 2020 Accepting new patients

Locations

1621 E Flamingo Rd
Ste 16A
Las Vegas, NV 89119
Phone (702) 478-9971

1601 E Flamingo Rd
Ste E18
Las Vegas, NV 89119
Phone (702) 958-0996

Organizations & group practices 1

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1992360598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 BOSCO BAY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136635",
            "telephone_number": "702-606-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E FLAMINGO RD STE E18",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195244",
            "telephone_number": "702-958-0996",
            "fax_number": "702-965-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "KRISTINE JENNIFER",
        "middle_name": "NAVAL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "819061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.