SUN S KIM (NPI# 1992942148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992942148 |
| Entity Type | Individual |
| Full Name | SUN S KIM |
| Credential | RN PC |
| Practice Address |
328 Shrewsbury St Department of Psychiatry Worcester MA 01604-4613 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083342537 |
| Practice Fax Number | 5083344320 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
279972 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSACHUSETTS LICENSE | 279972 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234928 | Sun Kim | Pharmacist | 9112 Santiago Dr, Huntington Beach, CA 92646-6341 | 2017-02-22 |
| 1316394562 | Sun Kim | Dentist | 8524 Harvest Oak Dr, Vienna, VA 22182-5601 | 2016-05-18 |
| 1114398450 | Sun Kim | Student in an Organized Health Care Education/Training Program | 210 City Blvd W Apt 103, Orange, CA 92868-2928 | 2015-10-13 |
| 1508262817 | Sun Hye Kim | Nurse Practitioner | 1871 Martin Ave # 102, Santa Clara, CA 95050-2501 | 2014-11-13 |
| 1598923765 | Sun M Kim | Acupuncturist | 22636 Ocean Ave Apt 6, Torrance, CA 90505-3639 | 2008-05-23 |
| 1326189937 | Sun Y Kim | Dentist | 2262 Pacific Coast Hwy, Lomita, CA 90717-2532 | 2007-02-08 |
| 1801949912 | Sun Hui Kim | Pharmacist | 4881 La Palma Ave, La Palma, CA 90623-2019 | 2007-01-19 |
| 1093738932 | Sun Ik Kim | Urology | 489 E 21st St, San Bernardino, CA 92404-4816 | 2006-07-25 |
| 1124091764 | Sun Yong Kim | Nuclear Medicine | Department of The Army Wamc Stop A 2817 Reilly Road, Attn: Sun Yong Kim Mcxc-rad, Fort Bragg, NC 28310-7301 | 2006-02-13 |
| 1528605052 | Sun Hi Kim | Pharmacist | 4040 N Oracle Rd, Tucson, AZ 85705-2720 | 2019-12-03 |
| Street Address |
328 SHREWSBURY ST DEPARTMENT OF PSYCHIATRY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336130657 | June R O'connor | Obstetrics & Gynecology | 328 Shrewsbury St, Ste 100, Worcester, MA 01604-4613 | 2005-11-04 |
| 1902185184 | Ashley S Hart | Psychologist | 328 Shrewsbury St, Worcester, MA 01604-4613 | 2011-08-05 |
| 1033430707 | Leah Wilson | Obstetrics & Gynecology | 328 Shrewsbury St, Ste 100, Worcester, MA 01604-4613 | 2010-06-17 |
| 1104053842 | Amy Podolski Chang | Obstetrics & Gynecology | 328 Shrewsbury St, Suite 100, Worcester, MA 01604-4613 | 2009-06-21 |
| 1952538662 | Christopher Conlan | Obstetrics & Gynecology | 328 Shrewsbury St, Suite 100, Worcester, MA 01604-4613 | 2009-06-20 |
| 1104086453 | Tiffany M Forti | Obstetrics & Gynecology | 328 Shrewsbury St, Ste 100, Worcester, MA 01604-4613 | 2008-06-11 |
| 1801947924 | Jaimee Demone | Obstetrics & Gynecology | 328 Shrewsbury St, Ste 100, Worcester, MA 01604-4613 | 2007-01-16 |
| 1023167707 | Elana L Rudavsky | Psychiatry & Neurology | 328 Shrewsbury St, # 252, Worcester, MA 01604-4613 | 2007-01-10 |
| 1669567616 | Women's Health of Central Ma. PC | Obstetrics & Gynecology | 328 Shrewsbury St, Ste 100, Worcester, MA 01604-4613 | 2006-10-04 |
| 1962502484 | Susan L Kraft | Obstetrics & Gynecology | 328 Shrewsbury St, Suite 100, Worcester, MA 01604-4613 | 2006-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447330287 | Jane S Ferguson | Clinical Nurse Specialist | 162 Chandler St, Worcester, MA 01609-2924 | 2006-10-16 |
| 1871530600 | Rebecca Kardon | Clinical Nurse Specialist | 26 Queen Street, Ground Floor, Umass Memorial Med Ctr, Ambulatory Psychiatry Service, Worcester, MA 01610 | 2006-06-01 |
| 1033448188 | Ursula Sawicki Makrum | Clinical Nurse Specialist | 72 Jaques Ave, Worcester, MA 01610-2476 | 2009-12-21 |
| 1083764237 | Kathryn Yvonne Raymond | Clinical Nurse Specialist | 305 Belmont St, Worcester, MA 01604-1681 | 2007-01-11 |
| 1619067568 | Sally Ann Blomgren | Clinical Nurse Specialist | 78 Burncoat St, Worcester, MA 01605-1350 | 2006-10-13 |
| 1174624753 | Margaret Burley | Clinical Nurse Specialist | 5 Neponset St, Worcester, MA 01606-2714 | 2006-09-26 |
| 1720189525 | Sharon Divitto | Clinical Nurse Specialist | 55 Lake Ave N, Ummmc, Department of Psychiatry, Worcester, MA 01655-0002 | 2006-09-26 |
| 1811098601 | Karen C Kappes | Clinical Nurse Specialist | 55 Lake Ave N, Ummmc, Department of Psychiatry, Worcester, MA 01655-0002 | 2006-09-26 |
| 1710926068 | Karen Nordstrom | Clinical Nurse Specialist | 26 Queen Street, Ground Floor, Umass Memorial Med Ctr, Ambulatory Psychiatry Service, Worcester, MA 01610 | 2006-06-05 |
| 1053366963 | Mary R Innis | Clinical Nurse Specialist | 100 Century Dr, Worcester, MA 01606 | 2006-05-23 |
| Find all providers in WORCESTER | ||||
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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.