SHIN-YE KIM (NPI# 1841631116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841631116 |
| Entity Type | Individual |
| Full Name | SHIN-YE KIM |
| Credential | M.A |
| Practice Address |
3805b Spring St Mount Pleasant WI 53405-1641 |
| Mailing Address |
2637 N Cramer St Apt 32 Milwaukee WI 53211-3513 |
| Practice Telephone | 2626878322 |
| Mailing Telephone | 8579982121 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| 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 |
3805B SPRING ST |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53405-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295101574 | Michael Derose | Social Worker | 3805b Spring St, Suite 320, Mount Pleasant, WI 53405-1641 | 2015-08-20 |
| 1568605616 | William Paul Bake | Psychiatry & Neurology | 3805b Spring St, Mount Pleasant, WI 53405-1641 | 2009-04-18 |
| 1508042060 | Radha Krishna Sanka | Ophthalmology | 3805b Spring St, Mount Pleasant, WI 53405-1641 | 2008-01-15 |
| 1922207778 | Ashley A Cyr | Physician Assistant | 3805b Spring St, Suite 230 Attn: Hazel Johnson, Mount Pleasant, WI 53405-1641 | 2007-07-12 |
| 1194892265 | Drs Decheck and Mataczynski Md Sc | Family Medicine | 3805b Spring St, Suite250, Mount Pleasant, WI 53405-1641 | 2006-11-30 |
| 1205935681 | James Scarpaci | Social Worker | 3805b Spring St, Suite 20, Mount Pleasant, WI 53405-1641 | 2006-09-21 |
| 1598703910 | Caleb R Lippman | Neurological Surgery | 3805b Spring St, Suite 320, Mount Pleasant, WI 53405-1641 | 2006-06-04 |
| 1285613109 | James Dean Mataczynski | Family Medicine | 3805b Spring St, Suite 250, Mount Pleasant, WI 53405-1641 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| 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 |
|---|---|---|---|---|
| 1457970576 | Cayla Mitzkovitz | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr Bldg 1101, Mount Pleasant, MI 48858-3803 | 2020-04-09 |
| 1235776683 | Ciara Deborah Grubinski | Student in an Organized Health Care Education/Training Program | 622 Whitney St, Mount Pleasant, MI 48858-1213 | 2019-12-04 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1841717469 | Cassandra Tatum | Student in an Organized Health Care Education/Training Program | 2024 Chatelain Way, Mount Pleasant, SC 29464-3273 | 2017-08-24 |
| 1023437563 | Michael Scott Larrabee | Student in an Organized Health Care Education/Training Program | 5332 Zachary Dr, Mount Pleasant, WI 53403-9752 | 2014-04-14 |
| 1437491727 | Bhaviniben S Patel | Student in an Organized Health Care Education/Training Program | 913 W 16th St, Mount Pleasant, TX 75455-2436 | 2013-03-25 |
| 1346852464 | Kirk Dettloff | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 | 2020-08-19 |
| 1376169177 | Joseph John Hellrung Jr. | Student in an Organized Health Care Education/Training Program | 2591 S Leaton Rd, Mount Pleasant, MI 48858-8421 | 2020-06-18 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53405 |
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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.