JUYUNG KIM (NPI# 1487076220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487076220 |
| Entity Type | Individual |
| Full Name | JUYUNG KIM |
| Practice Address |
2121 Juan Tabo Blvd Ne Albuquerque NM 87112-3307 |
| Mailing Address |
Po Box 26028 Albuquerque NM 87125-6028 |
| Practice Telephone | 5052378800 |
| Practice Fax Number | 5052378817 |
| Mailing Telephone | 5052627215 |
| Mailing Fax Number | 5052321627 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP-02280 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2121 JUAN TABO BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770689622 | Lovelace Healthcare Center-juan Tabo North | Internal Medicine | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2006-09-16 |
| 1619532066 | Sonya M Walsh | Nurse Practitioner | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2019-05-01 |
| 1396224390 | Matthew David Totter | Registered Nurse | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112 | 2018-08-09 |
| 1336533645 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2015-03-25 |
| 1508142688 | Jaime Vasquez Franco | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2011-11-02 |
| 1780967778 | Morgan Paige Foucar | Physician Assistant | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2011-09-26 |
| 1114116621 | Jeanette Danielle Lovato | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2007-10-20 |
| 1396945341 | Charles Allen Cummings | Pharmacist | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2007-07-18 |
| 1952468670 | Mary Elizabeth Brennan | Family Medicine | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112 | 2007-01-02 |
| 1174607212 | Lovelace Health Systems Inc | Pharmacy | 2121 Juan Tabo Blvd Ne, Albuquerque, NM 87112-3307 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808126 | Compassion Docs LLC | Nurse Practitioner | 8100 Wyoming Blvd Ne Ste M-4302, Albuquerque, NM 87113-1946 | 2020-10-11 |
| 1598398216 | Melissa Rose Pino | Nurse Practitioner | 10855 Firenze Dr Nw, Albuquerque, NM 87114-5287 | 2020-02-20 |
| 1043857410 | Elizabeth F Baca | Nurse Practitioner | 2502 Marble Ave, Albuquerque, NM 87131-0001 | 2019-12-04 |
| 1356358477 | Mary Louise Blankenship | Nurse Practitioner | 3200 La Orilla Rd Nw, Albuquerque, NM 87120-2742 | 2006-08-02 |
| 1023620143 | Chona Miller | Nurse Practitioner | 1500 Lomas Blvd Nw, Albuquerque, NM 87104-1200 | 2020-08-19 |
| 1831708924 | Pala Nicole Rivera | Nurse Practitioner | 1110 Pennsylvania St Ne Ste B, Albuquerque, NM 87110-7404 | 2020-07-24 |
| 1821621004 | Marlo Rose Gonzales | Nurse Practitioner | 4588 Paradise Blvd Nw, Albuquerque, NM 87114-4105 | 2020-02-17 |
| 1205398484 | Deborah Anne Ruiz | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2019-04-04 |
| 1184196446 | Dawn Annmarie Vigil | Nurse Practitioner | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2018-12-27 |
| 1356811384 | Jacqueline Messier | Nurse Practitioner | 2929 Coors Blvd Nw, Albuquerque, NM 87120-1173 | 2018-12-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on JUYUNG 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.