JI YOUNG KIM (NPI# 1548692593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548692593 |
| Entity Type | Individual |
| Full Name | JI YOUNG KIM |
| Credential | NP |
| Practice Address |
3600 Gaston Ave Suite 550 Dallas TX 75246-1800 |
| Mailing Address |
5349 Amesbury Dr Apt 1302 Dallas TX 75206-3495 |
| Practice Telephone | 2147122074 |
| Practice Fax Number | 2147122444 |
| Mailing Telephone | 2142326417 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 758393 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053827659 | Ji Young Kim | Pharmacist | 1555 Main St Apt 202, Rahway, NJ 07065-4070 | 2017-12-18 |
| 1700259785 | Ji Young Kim | Acupuncturist | 192-15a 64th Cir. #1a, Fresh Meadows, NY 11365 | 2015-11-12 |
| 1033729579 | Ji Young Kim | Pharmacist | 228 Mountain Rd, Fallston, MD 21047-2840 | 2020-08-07 |
| 1821569153 | Ji Young Kim | Dentist | 122 Saratoga Ave, Santa Clara, CA 95051-7385 | 2018-12-16 |
| 1053840173 | Ji Young Kim | Pharmacist | 2737 E Mckellips Rd, Mesa, AZ 85213-3016 | 2017-06-12 |
| 1104364413 | Ji Young Kim | Pharmacist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2017-02-07 |
| 1568823169 | Ji Young Kim | Pharmacist | 3370 Sugarloaf Pkwy, Lawrenceville, GA 30044-5478 | 2016-03-10 |
| 1265812234 | Ji Young Kim | Counselor | 12335 Hymeadow Dr, Suite 450, Austin, TX 78750-1934 | 2015-06-04 |
| 1285989244 | Ji Young Kim | Nurse Practitioner | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2012-07-16 |
| Street Address |
3600 GASTON AVE SUITE 550 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215429 | Norman Slusher | Ophthalmology | 3600 Gaston Ave, Ste 964, Dallas, TX 75246-1909 | 2005-06-14 |
| 1669032561 | Julia Przybyszewski | Physician Assistant | 3600 Gaston Ave, Dallas, TX 75246-1800 | 2019-06-13 |
| 1164934865 | Stephen Daniel Krivan | Physician Assistant | 3600 Gaston Ave, Wadley Tower Suite 550, Dallas, TX 75246 | 2017-11-02 |
| 1013451608 | Mary Elise Wallace | Dietitian, Registered | 3600 Gaston Ave, Suite 656, Dallas, TX 75246-1800 | 2016-12-15 |
| 1508226382 | Jessica Osipenko | Nurse Practitioner | 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246-1800 | 2016-03-07 |
| 1952773178 | Erin Davidson | Pharmacist | 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 | 2015-10-27 |
| 1871960146 | Krista Heinrich | Pharmacist | 3600 Gaston Ave, Suite 109, Dallas, TX 75246-1800 | 2015-08-21 |
| 1417339177 | Jami Mckinney | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-18 |
| 1780065755 | Evan Koesler | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-15 |
| 1851772958 | Alexandra Lee Bewley | Physician Assistant | 3600 Gaston Ave, Suite 550, Dallas, TX 75246-1800 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274304 | Arlena Culpepper Guzy | Nurse Practitioner | 900 Jackson St Ste 350, Dallas, TX 75202-4486 | 2020-04-21 |
| 1689205056 | Lauren Ashley Gore | Nurse Practitioner | 7777 Glen America Dr Apt 330, Dallas, TX 75225-1839 | 2020-02-03 |
| 1508402405 | Bailey Mcgee | Nurse Practitioner | 2901 Indiana Blvd Apt 356, Dallas, TX 75226-1543 | 2019-11-26 |
| 1235790288 | Julie Mills Struble | Nurse Practitioner | 3607 Oak Lawn Ave Unit 280, Dallas, TX 75219-4743 | 2019-06-20 |
| 1689238339 | Katherine O'connor | Nurse Practitioner | 6300 Harry Hines Blvd Fl 6, Dallas, TX 75235-5259 | 2019-04-29 |
| 1033678792 | Sandra Beverley Burrell-spence | Nurse Practitioner | 41 Riders Rdg, Dallas, GA 30132-8399 | 2019-03-12 |
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1841701984 | Tam Numinh Tran | Nurse Practitioner | 17370 Preston Rd Ste 412, Dallas, TX 75252-5611 | 2017-10-16 |
| 1356852784 | Dallas County Hospital District | Nurse Practitioner | 1822 Young St, Dallas, TX 75201-5612 | 2017-10-12 |
| 1497274294 | Kelly Beth Caldwell | Nurse Practitioner | 6301 Gaston Ave Ste 100, Dallas, TX 75214-3922 | 2017-09-12 |
| Find all providers in DALLAS | ||||
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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.