Kiku Ann Brown

Key facts

NPI

1306507595

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

876649 (NV)

Practice address

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Phone

(702) 982-3292

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

No

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.

• Solace Pediatric Healthcare Nursing Services, NV, LLC Home Health Agency · Las Vegas, NV · NPI 1780101378
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 9, 2024.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1306507595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W 200 N # 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5600",
            "fax_number": "435-986-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PILOT RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193514",
            "telephone_number": "702-982-3292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 W 200 N # 300",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847704505",
            "country_code": "US",
            "telephone_number": "435-634-5600",
            "fax_number": "435-986-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KIKU",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "876649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

• Kaynen Brown, PA-C
• Keaton Brown
• Kellee Brown
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• Kenyatta Brown
• Kimberly Brown
• Kimberly Brown
• Kimbley Marshell Brown
• Kristen Addis Brown, M.D.
• Kristin Brown

All providers in Las Vegas, NV · Licensed Practical Nurse in Nevada