Active NPI
Kwangsun Joo, SRNA
- Critical Care Medicine Registered Nurse
- Winston Salem, NC
National Provider Identifier
1023928256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 1191455
- Practice address
- 475 Vine St
Winston Salem, NC 27101-4135 - Phone
- (857) 998-7581
- NPI assigned
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 1191455 | TX | Primary |
Addresses
Primary practice location
475 Vine St
Winston Salem, NC 27101-4135
Mailing address
1440 Brookwood Dr
Winston Salem, NC 27106-4115
Phone (857) 998-7581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1023928256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 BROOKWOOD DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064115",
"telephone_number": "857-998-7581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 VINE ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271014135",
"telephone_number": "857-998-7581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOO",
"first_name": "KWANGSUN",
"credential": "SRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "1191455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.