RYAN KIM (NPI# 1821563370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821563370 |
| Entity Type | Individual |
| Full Name | RYAN KIM |
| Credential | FNP-BC |
| Practice Address |
14400 John Humphrey Dr Ste 1e Orland Park IL 60462-2897 |
| Practice Telephone | 7086711500 |
| Practice Fax Number | 7086711535 |
| Mailing Telephone | 7086711500 |
| Mailing Fax Number | 7086711535 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.018345 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881905222 | Ryan Johan Kim | Surgery | 4701 Towne Centre Rd Ste 202, Saginaw, MI 48604-2800 | 2010-06-30 |
| 1497384341 | Ryan Sangwoo Kim | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 1.150, Houston, TX 77030 | 2020-04-03 |
| 1174186530 | Ryan Lewis Kim | Student in an Organized Health Care Education/Training Program | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2019-04-20 |
| 1487156469 | Ryan Kim | Case Manager/Care Coordinator | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2018-03-06 |
| 1669883898 | Ryan J Kim | Radiology | 22 S Greene St, Department of Radiology, Baltimore, MD 21201-1544 | 2014-05-09 |
| 1851654826 | Ryan Manjae Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2012-06-24 |
| 1770739716 | Ryan Kim | Family Medicine | 600 Westage Business Ctr Dr, Fishkill, NY 12524-2281 | 2008-08-11 |
| 1720104292 | Ryan Kim | Pharmacist | 10230 Artesia Blvd Ste 101, Bellflower, CA 90706-6768 | 2007-03-22 |
| Street Address |
14400 JOHN HUMPHREY DR STE 1E |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093275380 | Jamira White | Nurse Practitioner | 14489 John Humphrey Dr Ste 1, Orland Park, IL 60462-2671 | 2019-03-22 |
| 1558812487 | Jossy George | Nurse Practitioner | 15120 Arbor Dr, Orland Park, IL 60467-7351 | 2016-10-14 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1457809097 | Ammal Varghese | Nurse Practitioner | 10910 Bear Island Ave, Orland Park, IL 60467-5398 | 2016-09-12 |
| 1851744270 | India Hollinquest | Nurse Practitioner | 16604 107th St, Orland Park, IL 60467-8898 | 2016-07-20 |
| 1174666051 | Meggan M Evans Forbes | Nurse Practitioner | 14035 Bunratty Dr, Orland Park, IL 60467-7405 | 2007-02-14 |
| 1043303290 | Gail Scruggs Lauryn | Nurse Practitioner | 10745 165th St, Orland Park, IL 60467-8713 | 2006-10-02 |
| 1851906432 | Sylvia Wiley | Nurse Practitioner | 16514 106th Ct, Orland Park, IL 60467-4547 | 2020-09-10 |
| 1316550171 | Madison Soderstrum | Nurse Practitioner | 14601 John Humphrey Dr, Orland Park, IL 60462-2641 | 2020-08-30 |
| 1033736210 | Skyrose Rejuvenation Clinic & Spa LLC | Nurse Practitioner | 9505 142nd St Ste 18, Orland Park, IL 60462-4293 | 2020-07-03 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
Please comment or provide details below to improve the information on RYAN 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.