JAMIE KIM (NPI# 1548876618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548876618 |
| Entity Type | Individual |
| Full Name | JAMIE KIM |
| Credential | PMHNP |
| Practice Address |
3554 Chain Bridge Rd Ste 200 Fairfax VA 22030-2709 |
| Mailing Address |
9221 Beachway Ln Springfield VA 22153-1441 |
| Practice Telephone | 7038967628 |
| Mailing Telephone | 4433092442 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024180211 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073908364 | Jamie Youngshin Kim | Dentist | 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 | 2015-04-02 |
| 1760824361 | Jamie Jiyong Kim | Dentist | 609 Whitcliff Ct, Gaithersburg, MD 20878-2784 | 2013-07-23 |
| 1225187388 | Jamie E Kim | Obstetrics & Gynecology | 18111 Brookhurst St #4450, Fountain Valley, CA 92708 | 2007-01-09 |
| 1801416896 | Jamie Kim | Dietitian, Registered | 281 1st Ave, New York, NY 10003-2925 | 2020-04-20 |
| 1659832780 | Jamie Kim | Dentist | 2483 Sunrise Blvd, Gold River, CA 95670-4344 | 2019-03-29 |
| 1689147787 | Jamie Jakyun Kim | Acupuncturist | 2050 W Chapman Ave Ste 102, Orange, CA 92868-2648 | 2019-01-10 |
| 1275870842 | Jamie Kim | Podiatrist | 1 Shrader St, Suite 510, San Francisco, CA 94117-1016 | 2013-01-15 |
| 1053658005 | Jamie Kim | Physician Assistant | 10316 Woodley Ave, Granada Hills, CA 91344-6916 | 2013-01-10 |
| 1982706578 | Jamie Yong Min Kim | Anesthesiology | 1135 116th Ave Ne, Suite 310, Bellevue, WA 98004-4623 | 2006-09-02 |
| 1164498978 | Jamie Kim | Physician Assistant | 5 East 98th Street, 14th Fl, New York, NY 10029-6574 | 2006-02-23 |
| Street Address |
3554 CHAIN BRIDGE RD STE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139295 | Patricia Moyer Gilliam | Nurse Practitioner | 3805 Skyview Ln, Fairfax, VA 22031-3101 | 2019-11-20 |
| 1073003398 | Umu Coomber Benjamin | Nurse Practitioner | 3930 Pender Dr Ste 300, Fairfax, VA 22030-0986 | 2018-05-11 |
| 1992209993 | Natalia F Brigham | Nurse Practitioner | 8221 Willow Oaks Corporate Dr # 4-425, Fairfax, VA 22031-4512 | 2018-03-23 |
| 1376671032 | Shawan Helena Carr | Nurse Practitioner | 8221 Willow Oaks Corporate Dr Ste 4-420, Fairfax, VA 22031-4512 | 2007-03-02 |
| 1396261368 | Claire Milliken | Nurse Practitioner | 8221 Willow Oaks Corporate Dr Ste 4-425, Fairfax, VA 22031-4512 | 2017-08-21 |
| 1184173296 | Songki Park | Nurse Practitioner | 8500 Executive Park Ave Ste 202, Fairfax, VA 22031-2253 | 2016-09-30 |
| 1033592746 | Angela Susan Amas | Nurse Practitioner | 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | 2015-06-30 |
| 1710272083 | Suzanne Cox | Nurse Practitioner | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 | 2011-06-15 |
| 1093766214 | Lora E Peppard | Nurse Practitioner | 4400 University Dr, George Mason University, Fairfax, VA 22030-4422 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
| 1558989475 | Happy Minds LLC | Nurse Practitioner | 1206 Carter Braxton Ln, Williamsburg, VA 23188-7654 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.