Active NPI
Sonia Yulika Kim, B.S
- Rehabilitation Practitioner
- Henderson, NV
National Provider Identifier
1982001020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2675 Windmill Pkwy
Apt 824
Henderson, NV 89074-3394 - Phone
- (702) 355-7234
- NPI assigned
- Dec 3, 2014
- Last updated
- Dec 3, 2014
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary |
Addresses
Primary practice location
2675 Windmill Pkwy
Apt 824
Henderson, NV 89074-3394
Mailing address
2675 Windmill Pkwy
Apt 824
Henderson, NV 89074-3394
Phone (702) 355-7234
Other names 1
- Sonia Yulika Large
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1982001020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINDMILL PKWY",
"address_2": "APT 824",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890743394",
"telephone_number": "702-355-7234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 WINDMILL PKWY",
"address_2": "APT 824",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890743394",
"telephone_number": "702-355-7234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SONIA",
"middle_name": "YULIKA",
"credential": "B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONIA",
"last_name": "LARGE",
"middle_name": "YULIKA",
"credential": "B.S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.