KELLY H. C. KIM (NPI# 1912089244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912089244 |
| Entity Type | Individual |
| Full Name | KELLY H. C. KIM |
| Credential | NP |
| Practice Address |
1708 Old Donation Pkwy Virginia Beach VA 23454-3064 |
| Mailing Address |
5700 Cleveland St Suite 228 Virginia Beach VA 23462-1752 |
| Practice Telephone | 7573955300 |
| Mailing Telephone | 7574992825 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0001199919 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE RN LICENSE | 0001199919 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987790 | Kelly Kim | Counselor | 329 Eucalyptus Dr Apt C, El Segundo, CA 90245-4252 | 2019-05-18 |
| 1760816607 | Kelly Heejung Kim | Dentist | 26742 E. University Dr., Building 200, Suite 220, Aubrey, TX 76227 | 2013-08-28 |
| 1750692505 | Kelly Kyunghee Kim | Occupational Therapist | 3237 34th St, Astoria, NY 11106-1801 | 2010-06-27 |
| 1861724403 | Kelly Kim | Pharmacist | 272 Shadow Mountain Dr, Apt 41, El Paso, TX 79912-4756 | 2010-02-08 |
| 1255959904 | Kelly Marie Kim | Pharmacist | 5125 Jonestown Rd, Harrisburg, PA 17112-2990 | 2020-07-09 |
| 1447882592 | Kelly Baek Kim | Occupational Therapy Assistant | 7320 Firestone Blvd Ste 105, Downey, CA 90241-4159 | 2020-02-06 |
| 1558845487 | Kelly Anne Kim | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2018-09-17 |
| 1285031427 | Kelly Kim | Pharmacist | 6301 York Rd, Baltimore, MD 21212-2636 | 2014-12-03 |
| 1053625715 | Kelly Yeon Su Kim | Dentist | 30001 Crown Valley Pkwy, Suite G, Laguna Niguel, CA 92677-1723 | 2010-08-04 |
| 1104065523 | Kelly Eunjoo Kim | Acupuncturist | 280 Newport Center Dr, Suite 200, Newport Beach, CA 92660-7526 | 2009-02-09 |
| Street Address |
1708 OLD DONATION PKWY |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740254440 | John Joseph Griffin Jr. | Internal Medicine | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2006-02-17 |
| 1841758182 | Rachel Renee Matthews | Nurse Practitioner | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2019-03-06 |
| 1609397835 | Jennifer Michelle Taylor | Physician Assistant | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2017-06-28 |
| 1114339173 | Lara L Wood | Physician Assistant | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2014-05-27 |
| 1245556968 | Christine M Ohlstein | Nurse Practitioner | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2010-04-20 |
| 1801964028 | Dilrukshie Marie Kahatapitiya | Nurse Practitioner | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2006-12-04 |
| 1518915206 | Dandridge H Yon Jr. | Physician Assistant | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2006-05-04 |
| 1578521621 | Mary Frances Maturi Allen | Internal Medicine | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2006-05-01 |
| 1346206778 | Khawaja Shahid Baig | Internal Medicine | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2006-04-25 |
| 1760451611 | Deepak R Talreja | Internal Medicine | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455122 | Tonja Marie Devolgado | Nurse Practitioner | 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456-0179 | 2020-01-06 |
| 1720543069 | Erika Nicole Henson Miller | Nurse Practitioner | 307 Garcia Dr, Virginia Beach, VA 23454-4804 | 2019-01-31 |
| 1417432360 | Rosalyn Barberan | Nurse Practitioner | 4360 Shore Dr, Virginia Beach, VA 23455-2994 | 2018-09-26 |
| 1013422302 | Keisha Monique Baxter | Nurse Practitioner | 770 Lynnhaven Pkwy Ste 240, Virginia Beach, VA 23452-7324 | 2017-12-07 |
| 1184024911 | Deborah Lynn Wainwright | Nurse Practitioner | 502 Viking Dr Ste 200, Virginia Beach, VA 23452-7316 | 2014-08-29 |
| 1407105380 | Jamie Leigh Sustakoski | Nurse Practitioner | 1181 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2437 | 2012-09-06 |
| 1285864868 | Elizabeth Gray Uzzle | Nurse Practitioner | 1100 Taylor Rd, Virginia Beach, VA 23464-4080 | 2009-07-17 |
| 1235322439 | Nancy Lynn Hopkins | Nurse Practitioner | 4867 Baxter Rd Ste 105, Virginia Beach, VA 23462-4469 | 2007-08-21 |
| 1700812344 | Lynn J Berkhimer | Nurse Practitioner | 5501 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6540 | 2006-06-24 |
| 1063460780 | Nina E Ramsey | Nurse Practitioner | 1708 Old Donation Parkway, Virginia Beach, VA 23454-3064 | 2006-05-05 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
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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.