Dong-Young Kim, FNP
Individual provider Active NPI Family Nurse Practitioner · Fallon, NV
NPI 1912414731 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1912414731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 823622 (NV)
- Practice address
- 801 E Williams Ave Ste &2207
Fallon, NV 89406-3052 - Phone
- (775) 867-7740
- NPI assigned
- Jan 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Churchill Community Hospital
Practice addresses (Care Compare)
801 E Williams Ave
Fallon, NV 89406-3052
Hospital & facility affiliations
- Eden Home Health
- Centerwell Home Health
- Banner Churchill Community Hospital
- Renown Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200103001866 | TX | Practitioner - Nurse Practitioner | 5496017394 | Reassigns benefits to 1 organization |
| I20230719002477 | NV | Practitioner - Nurse Practitioner | 5496017394 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fallon Tribal Health Center | Current |
Accepting new patients | |
| Banner Churchill Community Hospital | Current |
Accepting new patients |
Locations
1001 Rio Vista Dr
Fallon, NV 89406
Phone (775) 423-3634
801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310
801 E Williams Ave
Ste 2207
Fallon, NV 89406
Phone (775) 428-2747
Interoperability endpoints
- dkim@fthc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 823622 | NV | Yes |
Addresses
Primary practice location
801 E Williams Ave Ste &2207
Fallon, NV 89406-3052
Mailing address
801 E Williams Ave Ste &2207
Fallon, NV 89406-3052
Phone (775) 867-7740
Other providers in Fallon, NV
- Ryan J Kasky
- Kay Riehm LCSW
- Sharon Keller
- Rachel Kent
- Jefferson Keyes
- Esther Elizabeth King
- Lynn Kinsell
- Amanda L Knapp
- Joseph Knapp
- Mary Koch
All providers in Fallon, NV · Family Nurse Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.