Individual provider Active NPI

Joyce Kim, NP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1013373976
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8088 Issued in AZ
Practice address
6151-6153 W Olive Ave
Glendale, AZ 85302-4598
Phone
(602) 773-5546
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8088 AZ Primary

Addresses

Primary practice location

6151-6153 W Olive Ave
Glendale, AZ 85302-4598

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000649 AZ Practitioner - Nurse Practitioner 7416255781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terros, Inc.Group PAC ID 8224077045, 26 clinicians

Practice addresses (Care Compare)

6151 -6153 W Olive Ave
Glendale, AZ 85302-4564
Phone (602) 389-3560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8088AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terros, Inc. CurrentSince Apr 15, 2019 Accepting new patients
Terros, Inc. Current Accepting new patients
Whispering Palms Medical Inc CurrentSince Feb 8, 2016 Accepting new patients
Terros Inc CurrentSince Apr 15, 2019 Accepting new patients
Terros, Inc. Past Accepting new patients

Locations

6151 W Olive Ave
Glendale, AZ 85302
Phone (623) 939-8618

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

3864 N 27th Ave
Phoenix, AZ 85017
Phone (602) 358-0078

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

3003 N Central Ave
Ste 200
Phoenix, AZ 85012
Phone (602) 685-6132

8618 N 35th Ave
Ste 3
Phoenix, AZ 85051
Phone (602) 249-0999

1108 W Indian School Rd
Ste B
Phoenix, AZ 85013
Phone (602) 773-5600

14827 W Bell Rd
Ste 103
Surprise, AZ 85374
Phone (623) 544-3522

Interoperability endpoints

  • Direct secure messaging: joyce.kim.p1@direct.terros.nextgenshare.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1013373976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151-6153 W OLIVE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024598",
            "telephone_number": "602-773-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOYCE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.