REBECCA HAEUN KIM (NPI# 1194286054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194286054 |
| Entity Type | Individual |
| Full Name | REBECCA HAEUN KIM |
| Practice Address |
582 Concord Rd Se Smyrna GA 30082-2616 |
| Mailing Address |
677 Church Street Attn: Gme Marietta GA 30060 |
| Practice Telephone | 4709564000 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1740750777 | Rebecca Kim | Acupuncturist | 1412 Crain Hwy N Ste 7a, Glen Burnie, MD 21061-7000 | 2018-12-03 |
| 1497127047 | Rebecca Anne Wyckoff Kim | Psychologist | 4447 36th St S, Arlington, VA 22206-1817 | 2015-10-22 |
| 1235739269 | Rebecca Kim | Pharmacist | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-28 |
| 1871105833 | Rebecca Danbe Kim | Pharmacy | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-08-20 |
| 1750907598 | Rebecca Ha Kyung Kim | Student in an Organized Health Care Education/Training Program | 622 3rd Ave Fl 7, New York, NY 10017-6723 | 2020-06-17 |
| 1902396658 | Rebecca Kim | Advanced Practice Midwife | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-05-17 |
| 1134616428 | Rebecca Kim | Internal Medicine | 51 N 39th St, Philadelphia, PA 19104 | 2018-04-23 |
| 1164840054 | Rebecca Greaves Kim | Hospitalist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2014-03-28 |
| 1548540669 | Rebecca S Kim | Social Worker | 333 Atlantic Ave, Brooklyn, NY 11201-5803 | 2011-08-20 |
| 1861643082 | Rebecca Kyung-nan Kim | Pharmacist | 3865 Jackson St, Riverside, CA 92503-3919 | 2008-10-07 |
| Street Address |
582 CONCORD RD SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720024631 | Meena Visvanathan | Internal Medicine | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2006-06-20 |
| 1598394207 | Jeffrey Tyler Reynolds | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2020-04-04 |
| 1871054353 | William James Nichols | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2019-03-27 |
| 1093212375 | Puja Mehta | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2018-04-12 |
| 1821595406 | Vaidehi Ambai | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2018-04-10 |
| 1760730071 | Sabine M Barlatt | Family Medicine | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2012-08-16 |
| 1558657080 | Michael Christopher Kraft | Family Medicine | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2011-06-23 |
| 1699923169 | Viktoria Nurpeisov | Family Medicine | 582 Concord Rd Se, Smyrna, GA 30082-2616 | 2008-09-08 |
| 1790838746 | Anthony Cabot | Specialist | 582 Concord Rd Se, Suite C, Smyrna, GA 30082-2608 | 2007-01-20 |
| 1992733877 | Charles S Demosthenes | Internal Medicine | 582 Concord Rd Se, Suite A, Smyrna, GA 30082-2608 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| 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 |
|---|---|---|---|---|
| 1265093330 | Ronny Alejandro Ramirez | Student in an Organized Health Care Education/Training Program | 4252 Laurel Brook Dr Se, Smyrna, GA 30082-4319 | 2019-06-27 |
| 1245795707 | Caragh Kelly Fane-hervey | Student in an Organized Health Care Education/Training Program | 604 Countryside Pl Se, Smyrna, GA 30080-8238 | 2019-02-08 |
| 1144727116 | Christine Anjanette Sipple | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se Ste B, Smyrna, GA 30082-2616 | 2018-04-06 |
| 1396248233 | Aditya Oza | Student in an Organized Health Care Education/Training Program | 4280 Ridgehurst Dr Se, Smyrna, GA 30080-3113 | 2018-03-16 |
| 1528566163 | Edward John Kaiser | Student in an Organized Health Care Education/Training Program | 5 Margie Dr, Smyrna, DE 19977-7717 | 2018-01-29 |
| 1568997039 | Tyeisha Lingham | Student in an Organized Health Care Education/Training Program | 66 W Braeburn Dr, Smyrna, DE 19977-3925 | 2017-04-21 |
| 1619419322 | Tamara Bell | Student in an Organized Health Care Education/Training Program | 274 Cumberland Way Se, Smyrna, GA 30080-7765 | 2016-11-11 |
| 1205072501 | Meghan Elizabeth Muldoon | Student in an Organized Health Care Education/Training Program | 3455 Paces Ferry Cir Se, Smyrna, GA 30080-3122 | 2008-12-17 |
| 1891324414 | Connor James O'sullivan | Student in an Organized Health Care Education/Training Program | 562 Concord Rd Se, Smyrna, GA 30082-2608 | 2020-04-06 |
| 1316576010 | Nidhi N Patel | Student in an Organized Health Care Education/Training Program | 582 Concord Rd Se Ste B, Smyrna, GA 30082-2616 | 2020-04-04 |
| Find all providers in SMYRNA | ||||
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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.