MICHELE L KIM (NPI# 1902179286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902179286 |
| Entity Type | Individual |
| Full Name | MICHELE L KIM |
| Credential | NP |
| Practice Address |
Cherry Hospital 1401 West Ash Street Goldsboro NC 27530-1078 |
| Practice Telephone | 9103922525 |
| Practice Fax Number | 9103922827 |
| Mailing Telephone | 9103922525 |
| Mailing Fax Number | 9103922827 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5006333 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 209008596 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209008596 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5006333 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE NUMBER | 209008596 | 01 |
| NC | NC LICENSE NUMBER | 5006333 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609925411 | Michele L. Kim | Dentist | 6105 Rosemead Blvd Ste A, Pico Rivera, CA 90660-3223 | 2007-01-09 |
| Street Address |
CHERRY HOSPITAL 1401 WEST ASH STREET |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161864 | Ignacio Nmi Cabezudo | General Practice | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2005-05-31 |
| 1497101497 | Anna Teal Steffan | Student in an Organized Health Care Education/Training Program | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2016-05-09 |
| 1770939993 | Keri D. Metcalf | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2016-05-06 |
| 1811362403 | Alice W Munyua | Nurse Practitioner | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2015-12-08 |
| 1881081636 | Jaclyn Ashley Elliott | Physician Assistant | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2015-04-20 |
| 1801201991 | Gladys Bochere Matongo | Registered Nurse | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-06-26 |
| 1649680166 | Jonathan Gregory Napier | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-05-06 |
| 1629498282 | Brian Edward Moore Jr. | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash St, Goldsboro, NC 27512 | 2014-04-22 |
| 1205256294 | Jennifer Asheton Ingersoll | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-04-17 |
| 1255762696 | Desmina Ayodele Friday | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2013-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| 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 |
|---|---|---|---|---|
| 1841891959 | Amanda Lou Nester | Nurse Practitioner | 5293 Wayne Memorial Dr, Goldsboro, NC 27534-7257 | 2020-11-04 |
| 1376670836 | Elizabeth E. Williford | Nurse Practitioner | 2607-b Medical Office Place, Goldsboro, NC 27534 | 2007-02-28 |
| 1336197557 | Kathryn Ann Johnson | Nurse Practitioner | 2607 Medical Office Place, Watch Mobile Unit, Goldsboro, NC 27534 | 2006-05-04 |
| 1417583717 | Michelle Marshburn | Nurse Practitioner | 625 Country Day Rd, Goldsboro, NC 27530-8888 | 2020-03-18 |
| 1669943148 | Melinda Payton | Nurse Practitioner | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-12-10 |
| 1689172389 | Wanda Bryant Sanders | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2018-01-28 |
| 1003356767 | Samantha Joanne Criste | Nurse Practitioner | 1402 Wayne Memorial Dr, Goldsboro, NC 27534-2235 | 2017-02-28 |
| 1811362403 | Alice W Munyua | Nurse Practitioner | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2015-12-08 |
| 1942612890 | Kimberley Smith | Nurse Practitioner | 2607 Medical Office Pl, Goldsboro, NC 27534-9437 | 2014-05-27 |
| 1902247299 | Angelica F Etheridge | Nurse Practitioner | 102 Handley Park Ct, Goldsboro, NC 27534-1768 | 2013-07-15 |
| Find all providers in GOLDSBORO | ||||
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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.