Active NPI
Kinross Round Mountain Gold Corporation
- Family Medicine Physician
- Round Mountain, NV
National Provider Identifier
1588577274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KINROSS ROUND MOUNTAIN GOLD CORPORATION
- Practice address
- 1 Smoky Valley Mine Road
Round Mountain, NV 89045 - Phone
- (775) 377-3267
- Fax
- (775) 377-3368
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Nicole Clark, RN
- Title
- Clinic Supervisor
- Phone
- (775) 377-3267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1 Smoky Valley Mine Road
Round Mountain, NV 89045
Mailing address
PO Box 480
Round Mountain, NV 89045-0480
Phone (775) 377-3267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1588577274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480",
"city": "ROUND MOUNTAIN",
"state": "NV",
"postal_code": "890450480",
"telephone_number": "775-377-3267",
"fax_number": "775-377-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SMOKY VALLEY MINE ROAD",
"city": "ROUND MOUNTAIN",
"state": "NV",
"postal_code": "89045",
"telephone_number": "775-377-3267",
"fax_number": "775-377-3368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINROSS ROUND MOUNTAIN GOLD CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "CLINIC SUPERVISOR",
"authorized_official_telephone_number": "775-377-3267",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Mountain, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.