Active NPI
Bibi S Koo, APRN
- Acute Care Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1083857809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- ARNP3183022
- Practice address
- 6240 N Durango Dr Ste 120
Las Vegas, NV 89149-3941 - Phone
- (954) 923-7440
- Fax
- (844) 209-2827
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3183022 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP3183022 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | ARNP3183022 | FL | Primary |
Addresses
Primary practice location
6240 N Durango Dr Ste 120
Las Vegas, NV 89149-3941
Mailing address
PO Box 906
Ruskin, FL 33575-0906
Phone (727) 744-7995
Other names 1
- Ms. Bibi S. Koo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3183022 | FL | MD | Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1083857809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 906",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335750906",
"telephone_number": "727-744-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 N DURANGO DR STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891493941",
"telephone_number": "954-923-7440",
"fax_number": "844-209-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOO",
"first_name": "BIBI",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2022-08-24",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3183022",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP3183022",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP3183022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BIBI",
"last_name": "KOO",
"middle_name": "S.",
"prefix": "MS.",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.