SPENCER KIM (NPI# 1184155400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184155400 |
| Entity Type | Individual |
| Full Name | SPENCER KIM |
| Practice Address |
1178 Kinoole St Ste B Hilo HI 96720-7206 |
| Mailing Address |
3516 Pahoa Ave Honolulu HI 96816-2231 |
| Practice Telephone | 8089691427 |
| Mailing Telephone | 8083842707 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952481020 | Spencer Woo Kim | Acupuncturist | 3440 Wilshire Blvd, Suite #280, Los Angeles, CA 90010-2101 | 2006-10-16 |
| 1487114567 | Spencer Dobin Kim | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2019-03-23 |
| Street Address |
1178 KINOOLE ST STE B |
| City | HILO |
| State | HI |
| Zip Code | 96720-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083851059 | Harmony Uyehara | Registered Nurse | 1178 Kinoole St Ste B, Hilo, HI 96720-7206 | 2009-01-13 |
| 1063737005 | Emma Joy Serdenia Sumibcay | Registered Nurse | 1178 Kinoole St Ste B, Hilo, HI 96720-7206 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1649719170 | Tiffany Nguyen | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Ste 100, Hilo, HI 96720-4205 | 2017-02-16 |
| 1053771659 | Eva Payette | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave., Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2016-02-25 |
| 1184053985 | Sarah Gaskell | Student in an Organized Health Care Education/Training Program | 7 Wainohia St, Hilo, HI 96720-2775 | 2013-11-02 |
| 1922361203 | Melissa K Kuwahara | Student in an Organized Health Care Education/Training Program | 75 Puuhonu Place 202, Hilo, HI 96720-1032 | 2012-06-21 |
| 1073720215 | Leigh Asayo Fujishige | Student in an Organized Health Care Education/Training Program | 432 Ehehene Pl, Hilo, HI 96720-3141 | 2007-05-17 |
| 1649209883 | Timothy A Eakins | Student in an Organized Health Care Education/Training Program | 200 W Kawili St, Hilo, HI 96720-4075 | 2006-07-01 |
| 1346850039 | Crystal Ann O'brien | Student in an Organized Health Care Education/Training Program | 1045 Kilauea Ave Ste A, Hilo, HI 96720-4291 | 2020-08-06 |
| 1578184636 | Ghesline Marie Hewitt | Student in an Organized Health Care Education/Training Program | 88 Kanoelehua Ave Ste A204, Hilo, HI 96720-4670 | 2020-04-29 |
| Find all providers in HILO | ||||
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| 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.