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

Individual provider Emergency Medicine Physician · NPI 1134757099

Dr. Kathryn Amalia Fivelstad, MD is an Emergency Medicine in Henderson, Nevada. Qualified in 2019, 7 years ago. Practices with Shadow Emergency Physicians PLLC, a 109-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Nevada and Virginia.

Years since qualifying
7
Licensed in
NV, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone: (702) 963-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5400 S Rainbow Blvd, Las Vegas, NV 89118-1825 — (702) 853-3000
  • 657 N Town Center Dr, Las Vegas, NV 89144-6367 — (702) 233-7000
  • 6900 N Durango Dr, Las Vegas, NV 89149-4409 — (702) 835-9700
  • 2375 E Prater Way, Sparks, NV 89434-9665 — (775) 331-7000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25793 (NV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 0101278010 (VA)

Record details

NPI number1134757099
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shadow Emergency Physicians Pllc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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