MS. HYERAN KIM (NPI# 1497829782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497829782 |
| Entity Type | Individual |
| Full Name | MS. HYERAN KIM |
| Credential | NP |
| Practice Address |
100 North Portland Ave Brooklyn NY 11205-5317 |
| Mailing Address |
6349a Douglaston Pkwy Douglaston NY 11362-1533 |
| Practice Telephone | 7182607500 |
| Mailing Telephone | 7186310272 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340448 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 NORTH PORTLAND AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11205-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740767938 | Angelina Fletcher | Social Worker | 100 North Portland Ave, Behavioral Health Pavillion, Brooklyn, NY 11205 | 2018-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517176 | Hind Ibrahim | Speech-Language Pathologist | 195 Sanford Street, Brooklyn, NY 11205 | 2017-09-20 |
| 1710402573 | Pierrette Augustin | Registered Nurse | 84 Carlton Ave, Apt. 5a, Brooklyn, NY 11205 | 2017-08-13 |
| 1104368422 | Damali Robinson | Speech-Language Pathologist | 195 Willoughby Avenue, Apartment 609, Brooklyn, NY 11205 | 2016-11-17 |
| 1316304413 | Kyung Han | Case Manager/Care Coordinator | 950 Kent Avenue, 3f, Brooklyn, NY 11205 | 2016-01-20 |
| 1285039081 | Shani Jordan-goldman | Dietitian, Registered | 80 Vanderbilt Ave, Brooklyn, NY 11205 | 2014-10-23 |
| 1205274719 | Kaitlyn M Rindos | Speech-Language Pathologist | 805 Kent Avenue, Suite 101, Brooklyn, NY 11205 | 2013-06-06 |
| 1386985323 | Rose Marie Demosthene | Registered Nurse | Cumberland D&tc, 100 North Portland Avenue, Brooklyn, NY 11205 | 2013-03-14 |
| 1780940627 | Michele Goldman | Registered Nurse | 195 Sandford Street, Brooklyn, NY 11205 | 2012-04-04 |
| 1629202312 | Safeway Medical Supplies | Durable Medical Equipment & Medical Supplies | 196 Clinton Ave, Suite C25, Brooklyn, NY 11205 | 2009-05-08 |
| 1811136286 | Susan Jarrell | Acupuncturist | 208 Washington Park Apt 1b, Brooklyn, NY 11205 | 2009-02-09 |
| Find all providers in zip 11205 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396297354 | Ann-marie Campbell | Nurse Practitioner | 1292 E 93rd St, Brooklyn, NY 11236-4321 | 2016-10-25 |
| 1043684673 | Ying-yu Chao | Nurse Practitioner | 837 58th Street, 3rd Floor, Brooklyn, NY 11220 | 2015-11-19 |
| 1083020325 | Keithroy Francis | Nurse Practitioner | 1391 Schenectady Ave, Brooklyn, NY 11203-6531 | 2014-07-08 |
| 1396918025 | Kelynne J Edmond | Nurse Practitioner | 596 Prospect Pl, 2nd Floor, Brooklyn, NY 11238-4205 | 2008-04-02 |
| 1659358349 | Patrick Luib | Nurse Practitioner | 784 Rugby Rd, Brooklyn, NY 11230-2410 | 2005-12-23 |
| 1730736729 | Marialena Coffey | Nurse Practitioner | 902 Quentin Rd, Brooklyn, NY 11223-2214 | 2019-08-23 |
| 1699217554 | Joy Remona Reece | Nurse Practitioner | 1000 Church Ave, Brooklyn, NY 11218 | 2016-11-09 |
| 1750832127 | Fiona Gill | Nurse Practitioner | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2016-10-20 |
| 1497125371 | Hao Yun Taur | Nurse Practitioner | 447 Atlantic Ave, Brooklyn, NY 11217-1702 | 2015-10-05 |
| 1396080503 | Marcia Andrea Reid | Nurse Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2012-11-29 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on MS. HYERAN 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.