Stephanie Sun Koh, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

826301 Issued in NV

Practice address

777 N Rainbow Blvd Ste 350
Las Vegas, NV 89107-1188

Phone

(833) 208-0588

Fax

(702) 921-9712

NPI assigned

Feb 25, 2020

Last updated

Aug 31, 2023By the provider in NPPES

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian Le DO PC

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1598070914
  Medicare reassignment NPD
• Aim Purohit Healthcare Providers NV, PC

  dba AIM Healthcare Providers NV, PC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1275233215
  Medicare reassignment

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1376177691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 DAVID AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033944",
            "telephone_number": "732-770-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N RAINBOW BLVD STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071188",
            "telephone_number": "833-208-0588",
            "fax_number": "702-921-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "STEPHANIE",
        "middle_name": "SUN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "826301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Michelle Kofford, PA-C
• Elijah Koga
• David Kogan
• Kelly Ann Kogut, M.D., P.C.
• Chee Hiong Koh, NP-C
• Benny Kohanteb, DDS
• Jessica Rene' Kohara, RN
• Randell Allen Kohberger
• Sina Kohistani
• Catherine Kohl, RN

• 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 Aug 31, 2023; 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.