MIRA KIM (NPI# 1710212477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710212477 |
| Entity Type | Individual |
| Full Name | MIRA KIM |
| Credential | ARNP |
| Practice Address |
720 1st Ter Lansing KS 66043-1704 |
| Mailing Address |
12413 W 100th Pl Lenexa KS 66215-1929 |
| Practice Telephone | 9136825588 |
| Practice Fax Number | 9136822698 |
| Mailing Telephone | 9134923484 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
53-74979-072 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588135214 | Mira Kim | Pharmacist | 1708 Yakima Ave Ste 20, Tacoma, WA 98405-5307 | 2018-12-06 |
| 1417262155 | Mira Kim | Pharmacist | 3801 Howe St, Oakland, CA 94611-5312 | 2010-08-17 |
| 1134326853 | Mira Joan Kim | Counselor | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2007-06-27 |
| Street Address |
720 1ST TER |
| City | LANSING |
| State | KS |
| Zip Code | 66043-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255446480 | Leavenworth Family Health Center | Family Medicine | 720 1st Ter, Lansing, KS 66043-1704 | 2006-08-20 |
| 1346885670 | Anna Shuck | Family Medicine | 720 1st Ter, Lansing, KS 66043-1704 | 2019-11-11 |
| 1962893263 | Valerie Watts | Nurse Practitioner | 720 1st Ter, Lansing, KS 66043-4504 | 2015-02-09 |
| 1710092093 | Peter John Cristiano | Family Medicine | 720 1st Ter, Lansing, KS 66043-1704 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104673 | Andersen Medical Group, LLC | Family Medicine | 712 1st Ter # 205, Lansing, KS 66043 | 2018-05-18 |
| 1205210580 | Julie Ascher | Specialist/Technologist | 1412 147th Street, Lansing, KS 66043 | 2015-07-16 |
| 1164804324 | Erin D. Grosshuesch | Occupational Therapist | 757 W. Eisenhower, Lansing, KS 66043 | 2015-06-24 |
| 1043601669 | Rhonda Vaughn | Physical Therapy Assistant | 757 Eisenhower Rd, Lansing, KS 66043 | 2015-02-18 |
| 1386985091 | Debbie Ann Name | Physician Assistant | 720 First Terrace, Lansing, KS 66043 | 2013-03-05 |
| 1972768786 | Shayla Leann Kramer | Physical Therapist | 757 W Eisenhower, Lansing, KS 66043 | 2008-07-21 |
| 1780626945 | Jack Craig Stewart | Dentist | 615 Holiday Plaza, Lansing, KS 66043 | 2006-06-12 |
| 1518018837 | Vivek Sahgal, Md, Pa | Internal Medicine | 1004 Progress Dr, Ste 130, Lansing, KS 66043 | 2007-01-15 |
| 1134472640 | Twin Oaks Health and Rehab Operations, LLC | Skilled Nursing Facility | 757 W Eisenhower, Lansing, KS 66043-1110 | 2012-10-22 |
| 1750531281 | Janice M Gunter | Registered Nurse | 608 Valley Dr, Lansing, KS 66043-1235 | 2008-09-20 |
| Find all providers in zip 66043 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629022702 | Judy Rae Moppin | Nurse Practitioner | 211 Emile St, Lansing, KS 66043-1324 | 2006-05-21 |
| 1942202494 | Shirley R Courey | Nurse Practitioner | 1200 E Michigan Ave, Suite 500, Lansing, MI 48912-1800 | 2005-08-15 |
| 1164917787 | Wendy Wildern | Nurse Practitioner | 1215 E Michigan Ave Fl 7, Lansing, MI 48912-1811 | 2018-06-26 |
| 1508239534 | Abigail Platt | Nurse Practitioner | 2316 S Cedar St, Lansing, MI 48910-3152 | 2015-11-13 |
| 1124404793 | Lavonna Lynnsilee Evans | Nurse Practitioner | 5135 S Pennsylvania Ave, Lansing, MI 48911-4002 | 2015-08-06 |
| 1003292855 | Neena Lee Kovalchik | Nurse Practitioner | 1200 East Michigan Avenue, Lansing, MI 48912 | 2015-08-04 |
| 1598186777 | Monica Jean Scarffe | Nurse Practitioner | 1200 E Michigan Ave, Ste 725, Lansing, MI 48912 | 2013-12-14 |
| 1235418138 | Kelli L Isralson-brown | Nurse Practitioner | 5303 S Cedar St, Lansing, MI 48911-3800 | 2011-08-09 |
| 1013222736 | Gregory John Hayter | Nurse Practitioner | 1140 E Michigan Ave Ste 400, Lansing, MI 48912-1806 | 2010-08-18 |
| 1710209218 | Ellen F Lander | Nurse Practitioner | 2316 S Cedar St, Lansing, MI 48910-3152 | 2010-02-24 |
| Find all providers in LANSING | ||||
Please comment or provide details below to improve the information on MIRA 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.