Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mina Soonmee Kim, APRN

Individual provider Family Nurse Practitioner · NPI 1821772500

Mina Soonmee Kim, APRN is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices with Shasta Regional Medical Group Inc, a 34-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

9010 W Cheyenne Ave
Las Vegas, NV 89129-8932
Phone: (702) 240-8646
Fax: (702) 240-0206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 836021 (NV)

Record details

NPI number1821772500
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJune 13, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Shasta Regional Medical Group Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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