SOO KIM (NPI# 1639511546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639511546 |
| Entity Type | Individual |
| Full Name | SOO KIM |
| Credential | R.D. L.D. |
| Practice Address |
1013 Ledgemont Dr Plano TX 75025-3510 |
| Practice Telephone | 2149325573 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT05776 | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811368376 | Soo Kim | Pharmacist | 757 Galaxy Heights Dr, La Canada Flintridge, CA 91011-1832 | 2015-10-09 |
| 1932318219 | Soo H Kim | Optometrist | 25574 Dapper Ct, Chantilly, VA 20152-6318 | 2007-05-22 |
| 1619093739 | Soo Youn Kim | Optometrist | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2007-03-21 |
| 1912064429 | Soo Yew Kim | Dentist | 1717 S Hoover St, Los Angeles, CA 90006-4958 | 2007-01-03 |
| 1851475958 | Soo R. Kim | Internal Medicine | 29 W Oneida St, Oswego, NY 13126 | 2006-10-25 |
| 1376578260 | Soo Bin Kim | Dentist | 14855 Blanco Rd Ste 413, San Antonio, TX 78216-7731 | 2006-07-11 |
| 1053870618 | Soo Kim | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2019-03-13 |
| 1649736265 | Soo Jin Kim | Behavior Technician | 12443 Lewis St Ste 201, Garden Grove, CA 92840-4650 | 2019-02-19 |
| 1396271185 | Soo M Kim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2017-05-11 |
| 1073960530 | Soo K Kim | Acupuncturist | 385 Sylvan Ave, Suite 10, Englewood Cliffs, NJ 07632-2726 | 2016-05-15 |
| Street Address |
1013 LEDGEMONT DR |
| City | PLANO |
| State | TX |
| Zip Code | 75025-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425982 | Mary Deena Jacob | Nurse Practitioner | 2865 Mcdermott Rd #225, Plano, TX 75025 | 2019-03-05 |
| 1093295545 | Surgery Center 121 LLC | Clinic/Center | 9955 Gillespie Drive Suite 200, Plano, TX 75025 | 2018-08-15 |
| 1902383136 | Quang Dangtran | Adult Companion | 7604 Stoney Point Dr, Plano, TX 75025 | 2018-07-20 |
| 1598256851 | Rachel J Dove | Behavioral Analyst | 8900 Smokey Dr, Plano, TX 75025 | 2018-05-22 |
| 1659879641 | Beatrice Wambui Ngaruiya | Pharmacist | 312 Preston Rd, Plano, TX 75025 | 2018-01-25 |
| 1841718392 | Ngonje Emilia Dibaki | Community Health Worker | 7900 Stable Glen Drive, Plano, TX 75025 | 2017-09-05 |
| 1497280408 | Js Pedodontics Pllc | Dentist | 3555 National Drive, Ste. 200, Plano, TX 75025 | 2017-04-27 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1982147708 | Dentspan Pllc | Dentist | 3680 Sh 121, 100, Plano, TX 75025 | 2016-11-28 |
| 1669827093 | Raz Silberman | Community Health Worker | 9708 Congressional Dr, Plano, TX 75025 | 2016-05-04 |
| Find all providers in zip 75025 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162493 | Shea Lauren Puckett | Dietitian, Registered | 6632 Canyon Oaks Cir, Plano, TX 75024-7483 | 2020-07-27 |
| 1558996595 | Connally Morris | Dietitian, Registered | 4708 Alliance Blvd Ste 400, Plano, TX 75093-5340 | 2020-03-10 |
| 1326694035 | Haley Laura Pfannstiel | Dietitian, Registered | 700 E Park Blvd Ste 110, Plano, TX 75074-8842 | 2019-08-18 |
| 1407347297 | Susan Banuelos Smith | Dietitian, Registered | 3801 W 15th St Ste 214, Plano, TX 75075 | 2018-05-29 |
| 1265934079 | Sam Presicci | Dietitian, Registered | 6512 Rutherford Rd, Plano, TX 75023-2373 | 2018-03-07 |
| 1356857767 | Jennifer R Zucconi | Dietitian, Registered | 5908 Loch Maree Dr, Plano, TX 75093-4552 | 2017-12-20 |
| 1861912347 | Kristin Williams | Dietitian, Registered | 5400 W Plano Pkwy Ste 210, Plano, TX 75093-4883 | 2017-06-26 |
| 1770931180 | Erica Bennett | Dietitian, Registered | 3217 Brewton Dr, Plano, TX 75074-8764 | 2016-05-25 |
| 1962872390 | Han Sun | Dietitian, Registered | 6520 Silver Ln, Plano, TX 75023-2854 | 2015-09-28 |
| 1538543061 | Dana Quigley | Dietitian, Registered | 908 Harvest Glen Dr, Plano, TX 75023-6725 | 2015-07-15 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on SOO 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.