Individual provider Active NPI

Cristina L Kim, DNP, PNP

  • Pediatric Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1780233098
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN-CNP885513 Issued in NV
Practice address
3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428
Phone
(702) 457-5437
Fax
(702) 464-5801
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-CNP885513 NV
Pediatric Nurse Practitioner 363LP0200X APRN-CNP885513 NV Primary

Addresses

Primary practice location

3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428

Mailing address

3201 S Maryland Pkwy Ste 608
Las Vegas, NV 89109-2428
Phone (702) 457-5437

Other practice location 1

880 Seven Hills Dr Ste 100
Henderson, NV 89052-4372
Phone (702) 457-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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

Enrollment IDStateProvider typePAC IDDetails
I20240315000529 CA Practitioner - Nurse Practitioner 0143666941 Reassigns benefits to 1 organization
I20251218001019 NV Practitioner - Nurse Practitioner 0143666941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loma Linda University School of Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 W County Line Rd
Suite 230
Highlands Ranch, CO 80129-1903

PO Box
Los Angeles, CA 90084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-CNP885513NVMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Maestra Family Clinic, Inc. Current Accepting new patients
Harold Zilberman M D CHTD CurrentSince Nov 1, 2025 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Dec 30, 2023 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Dec 30, 2023 Accepting new patients

Locations

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

880 Seven Hills Dr
Ste 100
Henderson, NV 89052
Phone (702) 457-5437

3201 S Maryland Pkwy
Ste 608
Las Vegas, NV 89109
Phone (702) 457-5437

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1780233098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 608",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092428",
            "telephone_number": "702-457-5437",
            "fax_number": "702-464-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 608",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092428",
            "telephone_number": "702-457-5437",
            "fax_number": "702-464-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Seven Hills Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524372",
            "country_code": "US",
            "telephone_number": "702-457-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CRISTINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN-CNP885513",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NV",
            "license": "APRN-CNP885513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.