Active NPI
Binna Kim, AU.D
- Audiologist
- Omaha, NE
National Provider Identifier
1013314657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 456
- Practice address
- 16405 Pasadena Cir
Omaha, NE 68130-2114 - Phone
- (201) 658-6042
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1055 | MA | |
| Audiologist | 231H00000X | 456 | NE | Primary |
Addresses
Primary practice location
16405 Pasadena Cir
Omaha, NE 68130-2114
Mailing address
16405 Pasadena Cir
Omaha, NE 68130-2114
Phone (201) 658-6042
Other practice location 1
9040A Jackson Avenue
Madigan Army Medical Center
Tacoma, WA 98431
Phone (253) 968-4450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 456 | NE | MD | Registered Dietitian |
| 1055 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1013314657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16405 PASADENA CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302114",
"telephone_number": "201-658-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16405 PASADENA CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302114",
"telephone_number": "201-658-6042"
}
],
"practiceLocations": [
{
"address_1": "9040A Jackson Avenue",
"address_2": "Madigan Army Medical Center",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "98431",
"country_code": "US",
"telephone_number": "253-968-4450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "BINNA",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "1055",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.