AZALEA KIM (NPI# 1649699356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649699356 |
| Entity Type | Individual |
| Full Name | AZALEA KIM |
| Credential | M.D., M.P.A, M.B.A |
| Practice Address |
2301 Erwin Rd Durham NC 27710 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2301 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
| 1669073854 | Courtney Whitmore Jensen | Genetic Counselor, MS | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-04 |
| 1114528429 | Nicholas Tricarico | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-03 |
| 1164021788 | Wen Chian Ouyang | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-23 |
| 1447857529 | Christopher O'neal Fry | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-02 |
| 1932706140 | Ariane Cook | Physician Assistant | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-01 |
| 1801403795 | Shannon Marie Vannasane | Anesthesiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-25 |
| 1396352233 | Olivia Delpizzo | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-24 |
| 1619583051 | Colin Sauter | Physical Therapist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-21 |
| 1962017111 | Anna Bueton | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
| 1144828310 | Joseph Mccracken | Student in an Organized Health Care Education/Training Program | 12 W Bayberry Ct, Durham, NC 27713-9437 | 2020-10-11 |
| 1841897154 | Andrea Leigh Keever | Student in an Organized Health Care Education/Training Program | 4805 Butler St, Durham, NC 27707-5289 | 2020-10-08 |
| 1902410632 | Lindsey Lee Everett | Student in an Organized Health Care Education/Training Program | 835 Ivy Meadow Ln Apt 3f, Durham, NC 27707-5903 | 2020-09-01 |
| 1205449337 | Kamila Zlotosch | Student in an Organized Health Care Education/Training Program | 6 Hampshire Ave, Durham, NH 03824-1926 | 2020-08-28 |
| 1245843895 | Dima Moussa Ibrahim | Student in an Organized Health Care Education/Training Program | Erwin Road Durham, Durham, NC 27710-0001 | 2020-08-24 |
| 1457960171 | Meaghanelizabeth Viola Berry | Student in an Organized Health Care Education/Training Program | 4225 Larchmont Rd Apt 306, Durham, NC 27707-5972 | 2020-07-28 |
| 1942823505 | Alexis L Webb | Student in an Organized Health Care Education/Training Program | 10 Sandhurst Ct, Durham, NC 27712-9529 | 2020-05-18 |
| 1194347872 | Alyssa Vasquez | Student in an Organized Health Care Education/Training Program | 800 S Duke St, Durham, NC 27701-3902 | 2020-05-15 |
| 1174144349 | Kevin She-wai Chan | Student in an Organized Health Care Education/Training Program | 1501 Catch Fly Ln, Durham, NC 27713-2556 | 2020-04-29 |
| Find all providers in DURHAM | ||||
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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.