Young S. Keum, FNP, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

YOUNG S. KEUM, FNP, INC

Practice address

1001 Pyramid Way Ste 206
Sparks, NV 89431-4470

Phone

(775) 710-8380

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Joshua Taylor Wiggins

Title

Credentialing Agent

Phone

(704) 498-7736

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Young Soon Keum, FNP-BC

  • Family Nurse Practitioner
  • Sparks, NV
  • NPI 1750920559
  Medicare reassignment NPD

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1326760463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16793",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961516793",
            "telephone_number": "530-545-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PYRAMID WAY STE 206",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314470",
            "telephone_number": "775-710-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG S. KEUM, FNP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "704-498-7736"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waymin Yang, PHARM.D.
• Rasia Yankaway, RBT
• Jayme Lyn Yocom, APRN-CNP, ACNPC-AG
• Kyle Yoder, PHARMD.
• Rangal Yorks, LCSW
• Erica Christine Young
• Evelyn R Young
• Halee Young, LMT
• Michele L Young
• Your Choice Home Health Care

• Family Nurse Practitioner in Sparks, NV
• Providers in Sparks, 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 Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.