GRACE E KIM (NPI# 1083096283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083096283 |
| Entity Type | Individual |
| Full Name | GRACE E KIM |
| Practice Address |
14015 Sanford Ave Flushing NY 11355-2686 |
| Mailing Address |
14628 27th Ave 1 Fl Flushing NY 11354-1428 |
| Practice Telephone | 7183588288 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P01879 | NY | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407417611 | Grace Kim | Acupuncturist | 414 N Coast Highway 101, Encinitas, CA 92024-2529 | 2019-06-27 |
| 1417415662 | Grace Kim | Dietitian, Registered | 2120 Evergreen Dr, San Bruno, CA 94066-1828 | 2019-03-06 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1023405305 | Grace Eunheh Kim | Dentist | 7112 Ed Bluestein Blvd Ste 130, Austin, TX 78723-2924 | 2015-04-23 |
| 1679991897 | Grace Kim | Pediatrics | 925 E Southlake Blvd, Suite 100, Southlake, TX 76092 | 2014-04-03 |
| 1437572153 | Grace Kim | Occupational Therapist | 1607 W Redondo Beach Blvd, Gardena, CA 90247-3241 | 2014-01-31 |
| 1912335001 | Grace Jiin Kim | Acupuncturist | 61 Campbell Ave, Woodcliff Lake, NJ 07677-8061 | 2013-10-29 |
| 1255766119 | Grace Kim | Registered Nurse | 19416 37th Ave, Flushing, NY 11358-4003 | 2013-09-11 |
| 1366787103 | Grace G Kim | Physical Therapist | 375 Dover Chester Rd, Randolph, NJ 07869-3910 | 2012-12-05 |
| 1255684189 | Grace Donghwa Kim | Acupuncturist | 61 E 75th St Fl 2, New York, NY 10021-2739 | 2012-10-16 |
| Street Address |
14015 SANFORD AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-2686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543888 | Ilya Badalov | Internal Medicine | 14015 Sanford Ave, Flushing, NY 11355-2686 | 2006-01-23 |
| 1356717276 | Kimberly Johnson | Nurse Practitioner | 14015 Sanford Ave, Flushing, NY 11355-2686 | 2015-08-14 |
| 1033510219 | Angie S Hurtado | Student in an Organized Health Care Education/Training Program | 14015 Sanford Ave, 2fl, Flushing, NY 11355-2686 | 2014-09-08 |
| 1962812248 | Marufa Khatun | Internal Medicine | 14015 Sanford Ave, Flushing, NY 11355-2686 | 2014-05-07 |
| 1275958357 | Annie Liang | Counselor | 14015 Sanford Ave, Flushing, NY 11355-2686 | 2014-02-25 |
| 1497195176 | Antonin Jiri Reznicek | Internal Medicine | 14015 Sanford Ave, Flushing, NY 11355-2686 | 2013-06-26 |
| 1083957344 | Yu-ting Huang | Social Worker | 14015 Sanford Ave, Flushing, NY 11355-2686 | 2013-04-04 |
| 1346509361 | Kristy Rosado | Occupational Therapy Assistant | 14015 Sanford Ave, Flushing, NY 11355-2686 | 2012-05-11 |
| 1891957619 | Child Center of New York | Community/Behavioral Health | 14015 Sanford Ave, Flushing, NY 11355-2557 | 2008-07-02 |
| 1245400217 | The Child Center of Ny | Early Intervention Provider Agency | 14015 Sanford Ave, 2nd Floor (140-15b), Flushing, NY 11355-2557 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554280 | Stephanie K Palacios | Counselor | 6344 Saunders St Ste 1, Flushing, NY 11374-2044 | 2020-09-25 |
| 1891304531 | Denise X Arieli | Counselor | 4541 193rd St, Flushing, NY 11358-3441 | 2020-07-29 |
| 1528676558 | John Esposito | Counselor | 19014 39th Ave, Flushing, NY 11358-2411 | 2020-07-15 |
| 1538787783 | Samantha Maresca | Counselor | 2909 137th St Apt 3g, Flushing, NY 11354-2002 | 2020-07-13 |
| 1164049441 | Michelle Silver Lining Mental Health Counseling Pllc | Counselor | 7907 149th St, Flushing, NY 11367-2062 | 2020-07-02 |
| 1891334538 | Iris Harel | Counselor | 14138 71st Rd, Flushing, NY 11367-1945 | 2019-12-28 |
| 1467913228 | Phillips Mental Health Counseling, P.c | Counselor | 19402 Northern Blvd Ste 212, Flushing, NY 11358-3003 | 2019-03-26 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1487127122 | Rye Rin Cho | Counselor | 3520 147th St Apt 12a, Flushing, NY 11354-3767 | 2019-01-04 |
| 1891201372 | Rebecca Rothman | Counselor | 14468 Roosevelt Ave, Flushing, NY 11354-6253 | 2017-12-20 |
| Find all providers in FLUSHING | ||||
Please comment or provide details below to improve the information on GRACE E KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.