KELLI ANN IFUKU
NPI 1366905184
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since April 09, 2019PECOS Enrolled
5400 S RAINBOW BLVD, LAS VEGAS, NV 89118(702) 853-3561 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelli Ann Ifuku NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI ANN IFUKU (NPI 1366905184) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366905184
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLI ANN IFUKU
Location Address5400 S RAINBOW BLVDLas Vegas, NV 89118-1825
Mailing Address1557 Ala Mahamoe StHonolulu, HI 96819-1766
Sole ProprietorNo
Enumeration DateApril 9, 2019
NPI 1366905184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5400 S RAINBOW BLVD, Las Vegas, NV 89118

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelli Ann Ifuku is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
5400 S RAINBOW BLVD
LAS VEGAS, NV 89118
Physical Therapy Assistant
5400 S RAINBOW BLVD
LAS VEGAS, NV 89118
Occupational Therapist
5400 S RAINBOW BLVD, MOUNTAIN LAND REHAB SPRING VALLEY HOSPITAL
LAS VEGAS, NV 89118
Student in an Organized Health Care Education/Training Program
5400 S RAINBOW BLVD
LAS VEGAS, NV 89118
Registered Nurse (Psychiatric/Mental Health)
5400 S RAINBOW BLVD
LAS VEGAS, NV 89118
Registered Nurse (Perinatal)
5400 S RAINBOW BLVD
LAS VEGAS, NV 89118
Physical Therapist
5400 S RAINBOW BLVD
LAS VEGAS, NV 89118
Nurse Practitioner (Family)
5400 S RAINBOW BLVD
LAS VEGAS, NV 89118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Ann Ifuku's NPI number?

The NPI number for Kelli Ann Ifuku is 1366905184. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Kelli Ann Ifuku located?

Kelli Ann Ifuku practices at 5400 S Rainbow Blvd, Las Vegas, NV 89118. The listed phone number is (702) 853-3561.

What is Kelli Ann Ifuku's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelli Ann Ifuku enrolled in Medicare?

Yes. Kelli Ann Ifuku is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelli Ann Ifuku was last updated on April 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.