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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
712630 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 173668801 | 05 |
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 |
Street Address |
7501 LAKEVIEW PKWY SUITE 245 |
City | ROWLETT |
State | TX |
Zip Code | 75088-9322 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 75088 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in ROWLETT |
Please comment or provide details below to improve the information on SUSIE S. KIM.
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.