Susan Kilburn, RN-C, APN

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

APN00169 Issued in NV

Practice address

520 E Lake Mead Pkwy
Henderson, NV 89015-5578

Phone

(702) 759-1040

Fax

(702) 558-3127

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southern Nevada Health District

  • Community Health Clinic/Center
  • Las Vegas, NV
  • NPI 1275550212
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619004249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CROWN IMPERIAL ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745600",
            "telephone_number": "702-898-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155578",
            "telephone_number": "702-759-1040",
            "fax_number": "702-558-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBURN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "RN-C, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NV",
            "license": "APN00169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kid'S Fort Developmental Center LLC
• Kideology LTD
• Kidney and Hypertension Associates of Nevada PLLC
• Thomas Philip Kierl III, DDS
• Patricia Kihara
• Matthew Thomas Killian
• Byron Kilpatrick, MD
• Kim Henderson Kids Dentistry PC
• Christina Kim
• Daniel Kim, RPH

• Obstetrics & Gynecology Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Obstetrics & Gynecology Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.