KIMBERLY KAKITA (NPI# 1528213840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528213840 |
| Entity Type | Individual |
| Full Name | KIMBERLY KAKITA |
| Credential | PA |
| Practice Address |
1513 W Craig Rd Ste 105 North Las Vegas NV 89032-0234 |
| Mailing Address |
Po Box 35380 Las Vegas NV 89133-5380 |
| Practice Telephone | 7023950047 |
| Practice Fax Number | 7023690063 |
| Mailing Telephone | 7028778600 |
| Mailing Fax Number | 7025602928 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1244 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1528213840 | 05 |
| Street Address |
1513 W CRAIG RD STE 105 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-0234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353627 | Justin Kent | Physician Assistant | 4521 Nantucket Clipper Dr, North Las Vegas, NV 89031-3492 | 2020-10-09 |
| 1316488141 | Fremont Emergency Services Mandavia Ltd | Physician Assistant | 7207 Aliante Parkway, North Las Vegas, NV 89128-0436 | 2017-03-13 |
| 1093254484 | Clkr | Physician Assistant | 2828 E. Lake Mead Blvd, North Las Vegas, NV 89030 | 2017-02-17 |
| 1477989168 | Jon-glen Allan Brown | Physician Assistant | 2404 Mountain Rail Dr, North Las Vegas, NV 89084-3128 | 2013-09-25 |
| 1538202387 | Todd J Kuhnwald | Physician Assistant | 7204 Night Heron Way, North Las Vegas, NV 89084-2495 | 2007-02-14 |
| 1841373859 | Brian William Traugh | Physician Assistant | 2621 Losee Rd, North Las Vegas, NV 89030-4129 | 2006-10-23 |
| 1255429841 | Dennis James Fivecoat | Physician Assistant | 4511 W Cheyenne Ave, Ste 700, North Las Vegas, NV 89032-2450 | 2006-10-10 |
| 1952494619 | Tina Langeraap Martin | Physician Assistant | 1312 E Tonopah Ave, North Las Vegas, NV 89030-7111 | 2006-10-02 |
| 1689686578 | Brian E Lane | Physician Assistant | 47 W Owens Ave, North Las Vegas, NV 89030-6865 | 2006-08-12 |
| 1316966617 | Patricia Darlene Mcclellan | Physician Assistant | 3960 W Craig Rd, Suite 101, North Las Vegas, NV 89032-2731 | 2006-07-18 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on KIMBERLY KAKITA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.