Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Kimball

Individual provider Family Nurse Practitioner · NPI 1013872100

Amanda Kimball is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2025, 1 year ago. Licensed in Nevada.

Years since qualifying
1
Licensed in
NV
In the registry since
2025

Practice location Address checks out

11542 Salt Creek Ave
Las Vegas, NV 89138-9304
Phone: (949) 680-0599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 821386 (NV)

Record details

NPI number1013872100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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