SUSIE S. KIM


Address: 7501 Lakeview Pkwy, Suite 245, Rowlett, TX 75088-9322
Phone: 5627148609

SUSIE S. KIM (NPI# 1003816232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003816232
Entity Type Individual
Full Name SUSIE S. KIM
Credential FNP
Practice Address 7501 Lakeview Pkwy
Suite 245
Rowlett
TX 75088-9322
Mailing Address Po Box 570492
Dallas
TX 75357-0492
Practice Telephone 5627148609
Practice Fax Number 2062023378
Mailing Telephone 5627148609
Mailing Fax Number 2062023378
Enumeration Date 2005-07-29
Last Update Date 2010-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
712630 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 173668801 05

Other Providers SUSIE KIM

NPI Name Taxonomy Address Enumeration
1346753654 Susie Kim Acupuncturist 14300 Mulberry Dr Apt 122, Whittier, CA 90604-1207 2017-11-08
1093006785 Susie Kim Dentist 438 W Le Roy Ave, Arcadia, CA 91007-7305 2011-04-28
1942522123 Susie Kim Pharmacist 2570 Via Siena, Thousand Oaks, CA 91320-3882 2010-02-16
1225079841 Susie H Kim Optometrist 1558 Akron Peninsula Rd, Akron, OH 44313-5154 2006-06-08
1699399535 Susie Kim Pharmacist 1700 Wheeling St, Aurora, CO 80045-7211 2020-06-06
1861954869 Susie Kim Internal Medicine 2160 S 1st Ave, Maywood, IL 60153-3328 2019-04-01
1720589443 Susie Kim Behavior Technician 1835 Park Ave, San Jose, CA 95126-1629 2018-02-27
1861819153 Susie Kim Family Medicine 2200 Jefferson Ave, Toledo, OH 43604-7101 2014-03-25
1760671549 Susie Kim Family Medicine 1451 Irvine Blvd, Tustin, CA 92780-3804 2007-10-17
1548452220 Susie Hue Kim Internal Medicine 9449 Imperial Hwy # C-228, Downey, CA 90242-2814 2007-08-15

Office Location

Street Address 7501 LAKEVIEW PKWY
SUITE 245
City ROWLETT
State TX
Zip Code 75088-9322

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073019535 Blessy Sam Nurse Practitioner 7501 Lakeview Pkwy, Rowlett, TX 75088-9322 2018-04-03
1982159844 Nsnp 1, Pllc Neurological Surgery 7501 Lakeview Pkwy, Suite 245, Rowlett, TX 75088-9326 2016-08-22
1235561937 Rockwall Neurology, Pa Psychiatry & Neurology 7501 Lakeview Pkwy, Suite 245, Rowlett, TX 75088-9322 2013-08-05
1235573569 Catherine A Casteel Dpm Pllc Podiatrist 7501 Lakeview Pkwy, Suite 135, Rowlett, TX 75088-9322 2013-04-17
1497091706 Heartland Dental Care of Texas Dentist 7501 Lakeview Pkwy, Suite 250, Rowlett, TX 75088-9322 2012-12-14
1902197247 Sts Pain Solutions, LLC Specialist 7501 Lakeview Pkwy, Suite 245, Rowlett, TX 75088-9322 2011-04-20
1629386974 Elvia Martinez Blanco Pathology 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088-9322 2010-09-21
1831419423 Catherine A Casteel Podiatrist 7501 Lakeview Pkwy, Suite 135, Rowlett, TX 75088-9322 2010-06-04
1427376557 Monica Isabella Ruiz Pathology 7501 Lakeview Pkwy, Ste 160, Rowlett, TX 75088-9322 2010-05-13
1033433420 Pro Physicians Clinic Pa Radiology 7501 Lakeview Pkwy, Rowlett, TX 75088-9322 2010-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861055527 Harbor of Hope Counseling & Wellness Counselor 4702 Rowlett Rd St 101, Rowlett, TX 75088 2019-04-18
1164984936 Surgical Assistants In North Texas L.L.C. Specialist/Technologist, Other 3905 Melcer Dr, Rowlett, TX 75088 2019-04-02
1053894725 Chad Devose Occupational Therapy Assistant 9300lakeview Parkway, Rowlett, TX 75088 2018-09-10
1699166025 Neurological Associates of North Texas Psychiatry & Neurology 7501 Lakeveiw Parkway, Suite 245, Rowlett, TX 75088 2015-02-06
1558701763 Katrina Celeste Zendejas Nurse Practitioner 3705 Lakeview Pkwy Ste 400, Rowlett, TX 75088 2013-07-02
1811279953 Patbar LLC Home Health 4514 Rowlett Road, Suite 102, Rowlett, TX 75088 2011-09-14
1538456132 Maya L Chillar Dentist 4913 Petersburg Dr, Rowlett, TX 75088 2011-07-01
1780980862 Zalcon Pharmacy Pharmacist 9101 Lakeview Pkw, Ste. 500, Rowlett, TX 75088 2011-02-07
1205158193 Mary Naomi Lopez Durable Medical Equipment & Medical Supplies 3006 Carla Dr., Rowlett, TX 75088 2010-02-19
1336382068 Tamanna Mithani Emergency Medicine Bsw Lakepointe, 6800 Scenic Drive, Rowlett, TX 75088 2009-04-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386241826 Kimberly Dawn Solorzano Nurse Practitioner 7301 Euclid Dr, Rowlett, TX 75089-3089 2020-10-07
1245846427 Daniaya Kareece Ekwue Nurse Practitioner 10401 Fairway Vista Dr, Rowlett, TX 75089-8546 2020-09-22
1386289650 Sarah Marie Zaluski Nurse Practitioner 7700 Lakeview Pkwy Unit C, Rowlett, TX 75088-4362 2019-11-11
1174180095 Susan Kulathunkal Varghese Nurse Practitioner 8007 Lake Valley Ct, Rowlett, TX 75089-4569 2019-05-27
1093378465 Kasey Ann Linwood Nurse Practitioner 9812 Lakeview Pkwy, Rowlett, TX 75088-4549 2019-04-20
1689156697 Mary Chinyere Oledibe Nurse Practitioner 2302 Lawton Ln, Rowlett, TX 75089-7463 2018-09-06
1538645510 Roseline A Jones Nurse Practitioner 6605 Creek Bnd, Rowlett, TX 75089-4518 2018-07-12
1831693837 John Chester Siachitema Nurse Practitioner 7905 Killarney Ln, Rowlett, TX 75089-7854 2018-03-23
1831623727 Jessica Joseph Nurse Practitioner 8822 Denver St, Rowlett, TX 75088-4468 2017-04-18
1215392212 Molly Shibu Nurse Practitioner 1901 Benedict Ct, Rowlett, TX 75088-6703 2015-12-18
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Competitor

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City ROWLETT
Zip Code 75088

Improve Information

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Dataset Information

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.

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