Patricia K Im

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

836208 Issued in NV

Practice address

8565 S Eastern Ave Ste 192
Las Vegas, NV 89123-2907

Phone

(725) 232-1366

Fax

(702) 478-2475

NPI assigned

Dec 25, 2020

Sex

Female

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

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

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.

• Its Ok Not to Be Ok Health Care, LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
  • NPI 1851080725
  Medicare reassignment NPD Authorized official
• Absolute Primary Care Center

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1205265279

  Nurse Practitioner

  Medicare reassignment NPD
• Las Vegas Pain Institute and Medical Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1659431443

  Nurse Practitioner

  Medicare reassignment NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133
  NPD (past)

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

{
    "created_epoch": "1608854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1528655412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 192",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232907",
            "telephone_number": "725-232-1366",
            "fax_number": "702-478-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 192",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232907",
            "telephone_number": "725-232-1366",
            "fax_number": "702-478-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "PATRICIA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-25",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "836208",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "836208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omair Ilyas
• Im Therapy LLC
• Jackie Im
• Jennifer Im, PHD.
• Myung Im
• Sook Im
• Imagine Companions
• Imaging Associates of Nevada, PLLC
• Imaj Skin & Wellness Center LLC
• Drew Joseph Iman, D.O.

• Primary Care Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.