Individual provider Active NPI

Martha Kim

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1003491929
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
838966 Issued in NV
Practice address
9065 S Pecos Rd Ste 190
Henderson, NV 89074-6605
Phone
(702) 888-3148
NPI assigned
Mar 11, 2021
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 838966 NV Primary

Addresses

Primary practice location

9065 S Pecos Rd Ste 190
Henderson, NV 89074-6605

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

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
I20210412000721 NV Practitioner - Nurse Practitioner 9133537111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada, Las Vegas School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wong and Litchfield LTDGroup PAC ID 5092607796, 5 clinicians

Practice addresses (Care Compare)

2415 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-2649
Phone (702) 434-8400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Doctors Ramanathan, PLLC CurrentSince Apr 24, 2025 Accepting new patients
Wong & Litchfield, LTD CurrentSince Sep 1, 2025 Accepting new patients
P3 Health Partners Professional Services PC Past Accepting new patients
Cano Health Nevada PLLC PastSince Aug 1, 2022 Accepting new patients

Locations

2415 W Horizon Ridge Pkwy
Henderson, NV 89052

2415 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 434-8400

291 N Pecos Rd
Henderson, NV 89074
Phone (702) 435-1995

8925 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 387-8868

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BABJBA/Endpoint/BABJBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1003491929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 S PECOS RD STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746605",
            "telephone_number": "702-888-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "838966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.