CHRISTINE KIM (NPI# 1629313879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629313879 |
| Entity Type | Individual |
| Full Name | CHRISTINE KIM |
| Other Name | CHRISTINE BREWER |
| Credential | NP-C |
| Practice Address |
15 Pinehurst Ave Port Monmouth NJ 07758-1427 |
| Mailing Address |
17 Cheyenne St Tinton Falls NJ 07712-7753 |
| Practice Telephone | 8482181356 |
| Mailing Telephone | 8482181356 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NR14289800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | ADVANCED PRACTICE NURSE LICENSE NUMBER | 26NJ00402500 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588180368 | Christine Jin Kim | Pharmacist | 1726 S Orme St, Anaheim, CA 92804-6434 | 2017-08-14 |
| 1518493758 | Christine Kim | Occupational Therapist | 4900 Overland Ave Unit 218, Culver City, CA 90230-4275 | 2017-05-09 |
| 1871036103 | Christine Heeyoung Kim | Pharmacist | 20724 E Mill Ln, Walnut, CA 91789-4070 | 2016-11-18 |
| 1437608361 | Christine Jihae Kim | Dentist | 6 Appomattox, Irvine, CA 92620 | 2016-10-04 |
| 1184172942 | Christine Kim | Dietitian, Registered | 19721 May Way, Santa Clarita, CA 91351-5277 | 2016-09-21 |
| 1164886487 | Christine Ejin Kim | Student in an Organized Health Care Education/Training Program | 14351 Roosevelt Ave Apt 5c, Flushing, NY 11354-6110 | 2016-04-12 |
| 1396115531 | Christine Kim | Marriage & Family Therapist | 414 Gough St Ste 5, San Francisco, CA 94102-4474 | 2015-09-30 |
| 1396155958 | Christine Soojin Kim | Otolaryngology | 50 New Scotland Ave Fl 4, Albany, NY 12208-3403 | 2014-05-05 |
| 1093132201 | Christine Kim | Speech-Language Pathologist | 6991 San Julian Cir, Buena Park, CA 90620-2955 | 2014-03-25 |
| 1770910192 | Christine Young Kim | Nurse Practitioner | 2020 E Imperial Hwy # S25c310, El Segundo, CA 90245-3507 | 2013-09-30 |
| Street Address |
15 PINEHURST AVE |
| City | PORT MONMOUTH |
| State | NJ |
| Zip Code | 07758-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437524378 | Minding Miracles | Behavioral Analyst | 405 Highway 36, Port Monmouth, NJ 07758 | 2015-12-03 |
| 1417199415 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 375 State Route 36, Port Monmouth, NJ 07758 | 2009-04-06 |
| 1336190461 | Drug Fair Group, Inc. | Durable Medical Equipment & Medical Supplies | 375 Highway 36 & Main Street, Port Monmouth, NJ 07758 | 2006-05-13 |
| 1063951846 | Ymca of Greater Monmouth County | Community/Behavioral Health | 70 Murphy Rd, Port Monmouth, NJ 07758-1030 | 2017-02-14 |
| 1134351976 | Yelena Tulman | Pharmacist | 200 Wilson Ave, Port Monmouth, NJ 07758-1228 | 2009-08-12 |
| 1245268994 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 200 Wilson Avenue, Port Monmouth, NJ 07758-1228 | 2006-06-30 |
| 1972029551 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Wilson Ave, Port Monmouth, NJ 07758-1228 | 2017-08-16 |
| 1356791016 | Pankti Shah | Pharmacist | 200 Wilson Ave, Port Monmouth, NJ 07758-1228 | 2016-06-14 |
| 1982142220 | Ymca of Greater Monmouth County | Community/Behavioral Health | 202 Main St, Port Monmouth, NJ 07758-1252 | 2017-02-07 |
| 1437669884 | Minding Miracles | Clinic/Center | 405 Highway 36, Port Monmouth, NJ 07758-1323 | 2017-10-11 |
| Find all providers in zip 07758 | ||||
| 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 |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT MONMOUTH |
| Zip Code | 07758 |
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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.