Individual provider Active NPI

Kara Danbi Kim, NP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1033702535
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1021053 Issued in TX
Practice address
2829 Babcock Rd Ste 636
San Antonio, TX 78229-6014
Phone
(210) 615-8460
Fax
(210) 963-8132
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 1021053 TX Primary

Addresses

Primary practice location

2829 Babcock Rd Ste 636
San Antonio, TX 78229-6014

Mailing address

2829 Babcock Rd Ste 636
San Antonio, TX 78229-6014
Phone (210) 615-8460

Other names 1

  • Danbi Kwon Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219001665 TX Practitioner - Nurse Practitioner 8325453566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at San Antonio, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ana T Sauceda MD PLLCGroup PAC ID 0648317792, 4 clinicians

Practice addresses (Care Compare)

2829 Babcock Rd
Suite 636
San Antonio, TX 78229-6014
Phone (210) 615-8460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1021053TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ana T Sauceda MD PLLC CurrentSince Mar 21, 2022 Accepting new patients
Yun W Kim, MD, PA Family Medicine PastSince Mar 1, 2020 Accepting new patients

Locations

2829 Babcock Rd
Ste 636
San Antonio, TX 78229
Phone (210) 615-8460

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1033702535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 636",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296014",
            "telephone_number": "210-615-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 636",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296014",
            "telephone_number": "210-615-8460",
            "fax_number": "210-963-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KARA",
        "middle_name": "DANBI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANBI",
            "last_name": "KWON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.