MINA KIM (NPI# 1720613805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720613805 |
| Entity Type | Individual |
| Full Name | MINA KIM |
| Practice Address |
1455 Dixon Ave Lafayette CO 80026-8879 |
| Practice Telephone | 2244369668 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639331085 | Mina Kim | Pharmacist | 9506 Main St, Fairfax, VA 22031-4031 | 2008-06-26 |
| 1578754008 | Mina Kim | Dentist | 328 Bridge Plz N Apt 1h, Fort Lee, NJ 07024-5013 | 2007-08-08 |
| 1245879659 | Mina Mariela Kim | Behavior Technician | 16410 Bloomfield Ave Ste B, Cerritos, CA 90703-2144 | 2020-01-02 |
| 1043686272 | Mina Kim | Pharmacist | 15 N Buffalo Grove Rd, Buffalo Grove, IL 60089-1701 | 2015-08-11 |
| 1568704054 | Mina Jung Kim | Anesthesiology | 140 Park Ave, Florham Park, NJ 07932-1049 | 2013-03-22 |
| 1962768986 | Mina Kim | Counselor | 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101-1250 | 2012-04-03 |
| 1780975417 | Mina Soon Kim | Anesthesiology | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2011-04-28 |
| 1669779237 | Mina C Kim | Dentist | 2 W 46th St, 501, New York, NY 10036-4811 | 2011-02-17 |
| 1093902777 | Mina Kim | Physical Therapist | 6300 Woodside Ct, Suite E, Columbia, MD 21046-1098 | 2007-09-26 |
| 1548398985 | Mina Kim | Optometrist | 189 Montague St, Brooklyn, NY 11201-3610 | 2007-02-28 |
| Street Address |
1455 DIXON AVE |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-8879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093767543 | Mental Health Center of Boulder County, Inc. | Clinic/Center | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2006-05-16 |
| 1487255980 | Savannah J Pierce | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-11-03 |
| 1679172324 | Asia Jaworowska | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-10-23 |
| 1881293124 | Evelyn C Bean | Nurse's Aide | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-10-19 |
| 1861009904 | Rachel Pearl Vanetten | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-23 |
| 1043826258 | Erica Frances Martinez | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-22 |
| 1851907042 | Ariana Gwen Cohn | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-22 |
| 1437765138 | Tova Selene Lipkin Sularz | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-17 |
| 1992311765 | Anna Lynne Gilmour | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-17 |
| 1063028942 | Donna Jane Kruger | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1346865813 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 588 N Us Highway 287 Ste 204, Lafayette, CO 80026-2615 | 2020-06-10 |
| 1659828606 | Larissa Geleris | Specialist | 3400 Mt Diablo Blvd, Suite 200, Lafayette, CA 94549-3956 | 2016-09-07 |
| 1255781381 | Vernon Valentino Md Apmc | Specialist | 5000 Amb Caffery Pkwy Ste 100, Lafayette, LA 70508-6984 | 2016-06-20 |
| 1770933228 | Allison O'grady | Specialist | 995 S Creasy Ln, Lafayette, IN 47905-4800 | 2016-06-15 |
| 1568816064 | Cecile Marie Picou | Specialist | 114 Greenhaven Dr, Lafayette, LA 70508-6545 | 2016-04-20 |
| 1922438522 | Indiana Wellness, LLC | Specialist | 1221 S Creasy Ln Ste K3, Lafayette, IN 47905-7430 | 2013-11-18 |
| 1073947701 | Onsite Healthcare Solutions, LLC | Specialist | 208 River Oak Cir, Lafayette, LA 70508-6742 | 2013-08-29 |
| 1083964167 | Sheila Kitson Stosick | Specialist | 3253 Judy Ln, Lafayette, CA 94549-4707 | 2012-09-14 |
| 1598030181 | Neuro Diagnostic Monitoring, LLC | Specialist | 106 Amaryllis Dr, Lafayette, LA 70503-3215 | 2012-03-14 |
| Find all providers in LAFAYETTE | ||||
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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.