MRS. HAESOOK KIM (NPI# 1972020824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972020824 |
| Entity Type | Individual |
| Full Name | MRS. HAESOOK KIM |
| Credential | NP |
| Practice Address |
2123 Ygnacio Valley Rd Ste K200 Walnut Creek CA 94598-3336 |
| Practice Telephone | (925) 926-0195 |
| Practice Fax Number | 9259260194 |
| Mailing Telephone | 9259260195 |
| Mailing Fax Number | 9259260194 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95004733 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710941109 | Haesook S Kim | Radiology | 302 Kensington Ave, Flint, MI 48503 | 2006-04-13 |
| Street Address |
2123 YGNACIO VALLEY RD STE K200 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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 |
|---|---|---|---|---|
| 1013418326 | Innovative Wellness Inc A Nursing Corporation | Nurse Practitioner | 2255 Ygnacio Valley Rd Ste T, Walnut Creek, CA 94598-3343 | 2018-02-22 |
| 1922513050 | Karla Castro | Nurse Practitioner | 1981 N Broadway Ste 200, Walnut Creek, CA 94596-3872 | 2017-12-12 |
| 1609322817 | Puja K Sarna | Nurse Practitioner | 1450 Treat Blvd # 250a, Walnut Creek, CA 94597-2168 | 2016-08-28 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1699988824 | Christine W Wong | Nurse Practitioner | 1479 Ygnacio Valley Rd # 150, Walnut Creek, CA 94598 | 2007-05-07 |
| 1609921709 | Ann G Weiss | Nurse Practitioner | 1299 Newell Pl, Suite 100, Walnut Creek, CA 94596-2819 | 2007-01-25 |
| 1174602825 | Mary Virginia Williams | Nurse Practitioner | 1776 Ygnacio Valley Rd Ste 208, Walnut Creek, CA 94598-3125 | 2006-11-03 |
| 1215950159 | Katherine A Westbrook | Nurse Practitioner | 1479 Ygnacio Valley Rd, Walnut Creek, CA 94598 | 2006-07-25 |
| 1568012052 | Angela Leverich | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2019-09-16 |
| 1841706702 | Rachel Lippert Yanda | Nurse Practitioner | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2017-12-14 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.