Active NPI
Suyoung Kirkwood, FNP
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1972157352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 817138
- Practice address
- 901 Rancho Lane Ste. 250
Las Vegas, NV 89106 - Phone
- (702) 383-2224
- Fax
- (702) 383-3035
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 817138 | NV | Primary |
Addresses
Primary practice location
901 Rancho Lane Ste. 250
Las Vegas, NV 89106
Mailing address
901 Rancho Lane Ste. 250
Las Vegas, NV 89106
Phone (702) 383-2224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 817138 | NV | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1972157352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 RANCHO LANE STE. 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-383-2224",
"fax_number": "702-383-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 RANCHO LANE STE. 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-383-2224",
"fax_number": "702-383-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKWOOD",
"first_name": "SUYOUNG",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "817138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.