Jeysom Jose Kus, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10220503 Issued in NV

Practice address

7155 S Rainbow Blvd Ste 200
Las Vegas, NV 89118-3271

Phone

(702) 780-6677

NPI assigned

Feb 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1124527155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 S RAINBOW BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183271",
            "telephone_number": "702-780-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 S RAINBOW BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183271",
            "telephone_number": "702-780-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7040 Smoke Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891288607",
            "country_code": "US",
            "telephone_number": "702-792-6700",
            "fax_number": "702-792-7198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUS",
        "first_name": "JEYSOM",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-05",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "17-631",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "F10220503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared E Kurtzberg, MA
• Pamela L. Kurtzhals, M.D.
• Kevin Kuruvilla, MD
• Thomman M Kuruvilla, DPM
• Virginia Kurzyniec
• Felix Eduardo Kusaka
• Christina Lynne Kushnir, M.D.
• Kusum Dipak Desai MD Chartered
• Solennia Kutar
• Kuthuru Desert Pain Management PC

• 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 Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.