MS. MI RAE KIM


Address: 5420 Dashwood Dr Ste 100, Houston, TX 77081
Phone: 7134862960

MS. MI RAE KIM (NPI# 1588058432) 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) 1588058432
Entity Type Individual
Full Name MS. MI RAE KIM
Credential NP-C
Practice Address 5420 Dashwood Dr Ste 100
Houston
TX 77081
Mailing Address 5420 Dashwood Dr Ste 100
Houston
TX 77081-5333
Practice Telephone 7134862960
Practice Fax Number 7134862996
Enumeration Date 2015-03-27
Last Update Date 2019-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP127598 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 361032101 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
5420 Dashwood Dr Ste 100, Houston, TX 77081 7134862960 7134862996

Office Location

Street Address 5420 DASHWOOD DR STE 100
City HOUSTON
State TX
Zip Code 77081

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699126359 Christine Swade Family Medicine 5420 Dashwood Dr Ste 100, Houston, TX 77081-5333 2016-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518461961 Ahmed Elakkad Radiology 5704 Edgemoor Dr Apt 90, Houston, TX 77081 2018-03-21
1518471804 Leslie Marquez Nurse Practitioner 6121 Hillcroft St Ste O, Houston, TX 77081 2017-11-22
1841704236 Erick Noel Montoya Roll Specialist/Technologist, Other 5760 Gulfton St Apt 1549, Houston, TX 77081 2017-11-22
1023537743 Pro Med Rx Pharmacy 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 2017-09-13
1831627918 Ali Ahmed Abdelkhalek Baiomy Radiology 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 2017-06-01
1033657002 Tmh Physician Associates Pllc Orthopaedic Surgery 5505 West Loop S Ste 100, Houston, TX 77081 2017-02-09
1982148854 Greater Houston Psychiatric Associates Psychologist 4888 Loop Central Dr, Ste 510, Houston, TX 77081 2016-12-13
1184075657 Kimble Elisabeth Chentnik Optometrist 6699 Chimney Rock, Suite 201, Houston, TX 77081 2016-06-27
1780042226 Graves Community Health Clinic Clinic/Center 6910 Chetwood Dr. Ste. B, Houston, TX 77081 2016-01-28
1518351006 Wal-mart Stores Texas, LLC Technician/Technologist 5405 South Rice Avenue, Houston, TX 77081 2015-03-24
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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
1487255162 Shaida Rahmatinick Nurse Practitioner 1515 W 22nd St, Houston, TX 77008-1501 2020-11-08
1104426311 Erin Krim Gordon Nurse Practitioner 2202 Quenby St, Houston, TX 77005-1502 2020-10-27
1003415902 Hope Ozumba Nurse Practitioner 8544 Dairy View Ln, Houston, TX 77072-3907 2020-10-21
1487253761 Khanh Vu Phuong Nguyen Nurse Practitioner 13218 Bellaire Bld, Houston, TX 77083 2020-10-19
1962001362 Eshcol Clinic Nurse Practitioner 9935 Bissonnet St Unit B, Houston, TX 77036-8413 2020-10-19
1013516483 Shazia Mominkhawaja Nurse Practitioner 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 2020-10-18
1851908610 Iyobo Elegon Nurse Practitioner 8511 Dawnridge Dr, Houston, TX 77071-2441 2020-09-25
1548877541 Lifespan Psychiatry and Wellness Center Pllc Nurse Practitioner 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 2020-09-24
1811503345 Alyssa Cory Hildebrand Nurse Practitioner 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 2020-09-21
1245846088 Adriana Ortiz Nurse Practitioner 7218 Shady Corners Ln, Houston, TX 77040-4733 2020-09-17
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Competitor

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City HOUSTON
Zip Code 77081

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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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