Kikam Yun, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN002289 Issued in NV

Practice address

10109 Basalt Hollow Ave
Las Vegas, NV 89148-1647

Phone

(702) 285-9006

NPI assigned

Jul 29, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Southern Nevada Health DistrictGroup PAC ID 3375542939, shared by 3 NPIs, 20 clinicians

Meilan L Daguman Aprn PLLCGroup PAC ID 5496035180, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kyun87114@direct.umcsn.com
• Direct secure messaging: kikam.yun.1@28155.direct.athenahealth.com
• Direct secure messaging: kikam.yun@snhd.eclinicaldirectplus.com

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

• Meilan L Daguman Aprn PLLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1023568037
  Medicare reassignment Care Compare group
• Kikam Yun Professional Limited Liability Company

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1194673491
  NPD Authorized official
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Guanaroca Medical Center Inc

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1568032548
  NPD (past)

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1083167704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 BASALT HOLLOW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481647",
            "telephone_number": "702-285-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 BASALT HOLLOW AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481647",
            "telephone_number": "702-285-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "KIKAM",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yun Szu Yeh M.D., Inc.
• Amy Yun, OTD, OTR/L
• James Yun, DDS
• Jerusha Yun, PHARMD
• John J Yun, D.O
• Saeeun Yun
• Sok Yun
• Uenah Yun
• Audrey Yung, APRN
• Crystal Yung

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.