SOO M KIM (NPI# 1396271185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396271185 |
| Entity Type | Individual |
| Full Name | SOO M KIM |
| Practice Address |
1210 Sw 136th St Burien WA 98166-1214 |
| Mailing Address |
10501 8th Ave Ne Apt 210 Seattle WA 98125-7230 |
| Practice Telephone | 2062421698 |
| Mailing Telephone | 2063260816 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| 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 | WA | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 103K00000X | Behavioral Analyst | CG 60553309 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 111524501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15445 53rd Ave S Ste 110, Tukwila, WA 981882326 | 2063260816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811368376 | Soo Kim | Pharmacist | 757 Galaxy Heights Dr, La Canada Flintridge, CA 91011-1832 | 2015-10-09 |
| 1639511546 | Soo Kim | Dietitian, Registered | 1013 Ledgemont Dr, Plano, TX 75025-3510 | 2013-07-19 |
| 1932318219 | Soo H Kim | Optometrist | 25574 Dapper Ct, Chantilly, VA 20152-6318 | 2007-05-22 |
| 1619093739 | Soo Youn Kim | Optometrist | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2007-03-21 |
| 1912064429 | Soo Yew Kim | Dentist | 1717 S Hoover St, Los Angeles, CA 90006-4958 | 2007-01-03 |
| 1851475958 | Soo R. Kim | Internal Medicine | 29 W Oneida St, Oswego, NY 13126 | 2006-10-25 |
| 1376578260 | Soo Bin Kim | Dentist | 14855 Blanco Rd Ste 413, San Antonio, TX 78216-7731 | 2006-07-11 |
| 1053870618 | Soo Kim | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2019-03-13 |
| 1649736265 | Soo Jin Kim | Behavior Technician | 12443 Lewis St Ste 201, Garden Grove, CA 92840-4650 | 2019-02-19 |
| 1073960530 | Soo K Kim | Acupuncturist | 385 Sylvan Ave, Suite 10, Englewood Cliffs, NJ 07632-2726 | 2016-05-15 |
| Street Address |
1210 SW 136TH ST |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689613085 | Shannon L Corbin | Psychiatry & Neurology | 1210 Sw 136th St, Navos Mhwc, Burien, WA 98166-1214 | 2006-06-05 |
| 1326647769 | Caitlin Leigh Sellhorn | Registered Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-17 |
| 1043817265 | Keturah Suzanne Weathers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-01 |
| 1003423211 | Madeleine Sylvia Melamed | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-30 |
| 1205443660 | Candis Erin Myers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1174130504 | Natalie D. Grenfell | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1023625944 | Kiera Stevens | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-24 |
| 1407462088 | Samantha Lynn Nutter | Registered Nurse | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-19 |
| 1184239543 | Taylor Speegle | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-12 |
| 1427662212 | Saba Shabir Karim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| 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 |
|---|---|---|---|---|
| 1043817265 | Keturah Suzanne Weathers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-10-01 |
| 1003423211 | Madeleine Sylvia Melamed | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-30 |
| 1205443660 | Candis Erin Myers | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-29 |
| 1023625944 | Kiera Stevens | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-09-24 |
| 1427662212 | Saba Shabir Karim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-08-31 |
| 1740893379 | Dorothy Lynn Devaney | Student in an Organized Health Care Education/Training Program | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-08-24 |
| 1881212249 | Carrie Persephone Ancel | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2020-07-10 |
| 1902425648 | Alejandra Duran Arreola | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166-1912 | 2020-04-13 |
| 1033747621 | Adetola Cilveria Adeniyi | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166 | 2020-03-30 |
| 1477186575 | Aspen Hardy | Student in an Organized Health Care Education/Training Program | 1033 Sw 152nd St, Burien, WA 98166-1845 | 2020-02-17 |
| Find all providers in BURIEN | ||||
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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.