Active NPI
Joyce Kim, NP-C
- Family Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8088
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP8088 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terros, Inc. | Current | Accepting new patients | |
| Terros, Inc. | Current | Accepting new patients | |
| Whispering Palms Medical Inc | Current | Accepting new patients | |
| Terros Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1215720750
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1265959951
-
- Federally Qualified Health Center (FQHC)
- Tempe, AZ
- NPI 1598531378
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1518734169
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1932975059
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1053142018
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1134950066
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1194556845
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1194582882
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1235590712
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.