Individual provider Active NPI

Alice Kim, MSN, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1497144620
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
820119 Issued in NV
Practice address
781 Mill St
Reno, NV 89502-1320
Phone
(775) 398-1980
Fax
(775) 398-1981
NPI assigned
Jan 12, 2015
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 820119 NV
Family Nurse Practitioner 363LF0000X SP014555 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 820119 NV Primary

Addresses

Primary practice location

781 Mill St
Reno, NV 89502-1320

Mailing address

781 Mill St
Reno, NV 89502-1320
Phone (775) 398-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150226000108 PA Practitioner - Nurse Practitioner 8123344751 Reassigns benefits to 1 organization
I20191015003532 NV Practitioner - Nurse Practitioner 8123344751 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians
Geiss Med Nevada PCGroup PAC ID 8921400599, 16 clinicians

Practice addresses (Care Compare)

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871

3753 Howard Hughes Pkwy
Suite 200
Las Vegas, NV 89169-0952
Phone (855) 434-7763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geiss Med Nevada PC CurrentSince Jul 7, 2025 Accepting new patients
J M Geiss DO Apc CurrentSince Jul 7, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 1, 2015 Accepting new patients
Bruncuso Holdings LLC Family CurrentSince Mar 3, 2026 Accepting new patients
Behavioral Health Solutions LLC CurrentSince Jun 1, 2022 Accepting new patients
CH Specialty Services NV Requeijo PC CurrentSince Dec 11, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Oct 1, 2015 Accepting new patients
Tufail & Associates CurrentSince May 1, 2020 Accepting new patients
Curana Health of Nevada PLLC CurrentSince Aug 17, 2023 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

1001 Mountain St
Carson City, NV 89703
Phone (775) 222-0045

123 W Nye Ln
Ste 129
Carson City, NV 89706
Phone (480) 847-2273

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

1811 S Rainbow Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 858-7087

3753 Howard Hughes Pkwy
Ste 200
Las Vegas, NV 89169
Phone (702) 919-6580

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

9811 W Charleston Blvd
Ste 2695
Las Vegas, NV 89117

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

9880 Bustleton Ave
Ste 2
Philadelphia, PA 19115
Phone (215) 827-1500

Interoperability endpoints

  • Direct secure messaging: alice.kim.1@24259.direct.athenahealth.com
  • Direct secure messaging: alice.kim@direct.einstein.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1497144620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021320",
            "telephone_number": "775-398-1980",
            "fax_number": "775-398-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021320",
            "telephone_number": "775-398-1980",
            "fax_number": "775-398-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALICE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "820119",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014555",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "820119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.