Young Soon Keum, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

832549 Issued in NV

Practice address

1001 Pyramid Way Ste 206
Sparks, NV 89431-4470

Phone

(775) 710-8380

Fax

(949) 543-2069

NPI assigned

Dec 27, 2019

Last updated

Oct 3, 2022By the provider in NPPES

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

Enrolled in NV, CA2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Premise Health of Nevada Medical Hinitt P C

  dba Golden Valley Medical Center

  • Family Medicine Physician
  • Winnemucca, NV
  • NPI 1437185105
  Medicare reassignment NPD
• Young S. Keum, FNP, Inc

  • Family Nurse Practitioner
  • Sparks, NV
  • NPI 1326760463
  Medicare reassignment NPD
• Premise Health of Nevada Medical Hinitt PC

  dba The ROW Family Medical Center

  • Multi-Specialty Clinic/Center
  • Reno, NV
  • NPI 1518634112
  NPD
• Premise Health of Nevada Medical Hinitt PC

  dba Premise Health Wellness Center-Las Vegas

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1649977067
  NPD
• Barton Medical Foundation

  • Family Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1750950499
  NPD (past)

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1750920559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16793",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961516793",
            "telephone_number": "530-545-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PYRAMID WAY STE 206",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314470",
            "telephone_number": "775-710-8380",
            "fax_number": "949-543-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUM",
        "first_name": "YOUNG",
        "middle_name": "SOON",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth D. Vaughn DDS, PLLC
• Patrick Joseph Kenney, D.O.
• William Michael Kernozek II
• Kerry's Medical Inc
• Jessica Kate Ketz
• Kevin J Andrews DDS Ms a Professional Corporation
• Key Learning Concepts LLC
• Kylie A Kibala, RBT
• Kid Dental LLC
• Helen Kidane, BCBA

• Family Nurse Practitioner in Sparks, NV
• Providers in Sparks, 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 Oct 3, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.