MRS. JANUARY J KIM (NPI# 1609845759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609845759 |
| Entity Type | Individual |
| Full Name | MRS. JANUARY J KIM |
| Other Name | JANUARY J GRAY |
| Credential | ARNP |
| Practice Address |
1441 29th St Ste 305 West Des Moines IA 50266-1309 |
| Practice Telephone | 5159852024 |
| Practice Fax Number | 5159852025 |
| Mailing Telephone | 5159852024 |
| Mailing Fax Number | 5159852025 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
083414 | IA | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
T083414 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
T083414 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | JOHN DEERE HC | IA0132 | 01 |
| IA | BLUE SHIELD | 43845 | 01 |
| IA | 1045898 | 05 |
| Street Address |
1441 29TH ST STE 305 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814215 | Katelyn Lee Hogle | Nurse Practitioner | 1441 29th St Ste 305, West Des Moines, IA 50266-1309 | 2020-09-03 |
| 1386263747 | Linden Point Clinical Associates PC | Registered Nurse | 1441 29th St Ste 305, West Des Moines, IA 50266-1309 | 2020-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124044573 | Deborah Price | Clinical Nurse Specialist | 126 N 10th St, Fort Dodge, IA 50501-3915 | 2006-07-15 |
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on MRS. JANUARY J 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.