JENNY KIM (NPI# 1538798962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538798962 |
| Entity Type | Individual |
| Full Name | JENNY KIM |
| Practice Address |
2901 Telestar Ct Ste 200 Falls Church VA 22042-1262 |
| Mailing Address |
2901 Telestar Ct Ste 300 Falls Church VA 22042-1263 |
| Practice Telephone | 7035733494 |
| Practice Fax Number | 7035735353 |
| Mailing Telephone | 7035733494 |
| Mailing Fax Number | 7035735353 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024179666 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538670120 | Jenny Yunhee Kim | Counselor | 109 W 38th St Fl 3, New York, NY 10018-3615 | 2017-10-23 |
| 1609927896 | Jenny A Kim | Dentist | 1538 E Collins Ave, Orange, CA 92867-5934 | 2007-01-15 |
| 1275531907 | Jenny Christine Kim | Otolaryngology | 484 Irvin Ct, Ste 140, Decatur, GA 30030-5406 | 2005-07-07 |
| 1346868858 | Jenny Kim | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-07-10 |
| 1962021758 | Jenny Jina Kim | Student in an Organized Health Care Education/Training Program | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-04-11 |
| 1306473806 | Jenny Kim | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 | 2020-03-24 |
| 1952943953 | Jenny Y Kim | Registered Nurse | 9669 Kenton Ave Ste 405, Skokie, IL 60076-1267 | 2019-10-10 |
| 1982118469 | Jenny H Kim | Dental Hygienist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2017-11-20 |
| 1740647213 | Jenny Kim | Nurse Practitioner | 41 E Post Rd, White Plains, NY 10601-4607 | 2016-01-28 |
| 1336524867 | Jenny Kim | Behavioral Analyst | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2015-07-27 |
| Street Address |
2901 TELESTAR CT STE 200 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951062 | Anthony C. Chang | Internal Medicine | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2005-06-10 |
| 1730637356 | Rachel N Yomtob | Physician Assistant | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2016-09-12 |
| 1235682014 | Kristina Kierl | Nurse Practitioner | 2901 Telestar Ct Ste 200, Falls Church, VA 22042 | 2016-07-28 |
| 1275633679 | Timothy Steven Welch | Internal Medicine | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2006-09-25 |
| 1205886405 | Evelyn C. Mogadam | Nurse Practitioner | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2006-05-11 |
| 1427024652 | Alireza Maghsoudi | Internal Medicine | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686035 | Brianna Garcia | Nurse Practitioner | 6201 Leesburg Pike Ste 410, Falls Church, VA 22044-2201 | 2018-10-28 |
| 1891229944 | Allison Jane Prouty | Nurse Practitioner | 3440 S Jefferson St, Falls Church, VA 22041 | 2017-04-15 |
| 1598136871 | Kathleen Claire Passafaro | Nurse Practitioner | 6400 Arlington Blvd, 940, Falls Church, VA 22042-2325 | 2015-10-13 |
| 1528453362 | Stacia Singh | Nurse Practitioner | 3300 Gallows Road, Falls Church, VA 22042 | 2015-03-30 |
| 1811249378 | Kellyann T Clark | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2012-10-09 |
| 1003101536 | Melissa Ann Mcclean | Nurse Practitioner | 2900 Telestar Ct, Falls Church, VA 22042-1206 | 2011-06-13 |
| 1700194008 | Marianne Beare Vyas | Nurse Practitioner | 3300 Gallows Road, Falls Church, VA 22042 | 2010-09-21 |
| 1326220047 | Farideh Abbasi | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2007-12-04 |
| 1972785442 | Margaret Fregoso | Nurse Practitioner | 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | 2007-11-27 |
| 1467659698 | Deirdre Mary Carolan | Nurse Practitioner | 3300 Gallows Rd, Inova Fairfax Hospital, Falls Church, VA 22042-3307 | 2007-06-29 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
Please comment or provide details below to improve the information on JENNY 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.