Chaiwat Chulsuwan, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

874599 Issued in NV

Practice address

5155 S Durango Dr
Las Vegas, NV 89113-0173

Phone

(702) 463-5556

NPI assigned

Apr 8, 2025

Last updated

May 16, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1770377145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 QUICKSAND LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327615",
            "telephone_number": "702-576-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130173",
            "telephone_number": "702-463-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Howard Hughes Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891690946",
            "country_code": "US",
            "telephone_number": "702-560-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHULSUWAN",
        "first_name": "CHAIWAT",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "874599",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NV",
            "license": "874599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Chudziaszek
• Bevins Kinwood Chue, M.D.
• New Chuencharoenwong
• Youngie Chui, PHARMD, RPH
• Udechukwunyerem Chukwukelu
• Theresa Chumacero
• Hailey Chumpitaz
• Brenton Chun, PHARMD
• Chien-Yeu Chun
• Danyalle Kahaeholookalani Chun, DMD

• Medical-Surgical Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Medical-Surgical Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.