Soyoung Seo, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

878933 Issued in NV

Practice address

2851 N Tenaya Way Ste 101
Las Vegas, NV 89128-0453

Phone

(702) 803-5534

NPI assigned

Jul 3, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ejaz Kamboj, MD, Inc.

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1225254139
  Medicare reassignment NPD
• Yu Neurology and Electrodiagnostic Center of Nevada LTD

  • Clinical Neurophysiology Physician
  • Henderson, NV
  • NPI 1851314264
  Medicare reassignment

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1083450613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 PHOENIX PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665058",
            "telephone_number": "775-401-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 N TENAYA WAY STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280453",
            "telephone_number": "702-803-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "SOYOUNG",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "878933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sent Angel'S LLC
• Bradley Douglas Senter
• Donald James Senter, B.S.
• Sentinel Investments LLC
• Sarah Helen Sentz, APRN, FNP-C
• Seoul Anesthesiology Consultant Inc
• Sep Bady LTD
• Pablo Gabriel Seperich, RBT
• Sarah Nicole Sepesky
• Marie Sepian

• 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 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.