Active NPI
Stephanie Corum Kim, NP
- Acute Care Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1154089
- Practice address
- 6400 Fannin Street, Suite 2800
Houston, TX 77030 - Phone
- (713) 486-8000
- Fax
- (713) 486-8088
- NPI assigned
- Feb 28, 2024
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1154089 | TX | Primary |
Addresses
Primary practice location
6400 Fannin Street, Suite 2800
Houston, TX 77030
Mailing address
6400 Fannin Street, Suite 2070
Houston, TX 77030
Phone (713) 486-8000
Other practice location 1
6411 Fannin Street
Houston, TX 77030
Phone (713) 500-6821
Other practice location 2
921 Gessner Rd
Houston, TX 77024
Phone (713) 500-6821
Other practice location 3
7600 Beechnut St
Houston, TX 77074
Phone (713) 500-6821
Other names 1
- Stephanie Anne Porras Corum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6400 Fannin St
Suite 2800
Houston, TX 77030-1534
Phone (713) 486-8000
Hospital & facility affiliations
- Memorial Hermann Memorial City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients |
Locations
6400 Fannin St
Ste 2800
Houston, TX 77030
Phone (713) 704-7100
11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1265096317
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1013774892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN STREET, SUITE 2070",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-486-8000",
"fax_number": "713-486-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN STREET, SUITE 2800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-486-8000",
"fax_number": "713-486-8088"
}
],
"practiceLocations": [
{
"address_1": "6411 Fannin Street",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-500-6821",
"fax_number": "713-713-0556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "921 Gessner Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77024",
"country_code": "US",
"telephone_number": "713-500-6821",
"fax_number": "713-500-0856",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7600 Beechnut St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77074",
"country_code": "US",
"telephone_number": "713-500-6821",
"fax_number": "713-500-0886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "STEPHANIE",
"middle_name": "CORUM",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1154089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE ANNE",
"last_name": "CORUM",
"middle_name": "PORRAS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.