Sieon Kim, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2089 Issued in TN

Practice address

2100 Clinch Ave Ste 410
Knoxville, TN 37916-2287

Phone

(319) 235-5390

NPI assigned

Jun 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Iowa, RJ & L Carver College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Fayetteville, GA
  • NPI 1013313857
  Medicare reassignment Care Compare group NPD
• Ear, Nose & Throat Associates of Savannah, PC

  • Otolaryngology Physician
  • Savannah, GA
  • NPI 1134322142
  Medicare reassignment NPD
• Ear, Nose & Throat Associates of Savannah, PC

  • Otolaryngology Physician
  • Pooler, GA
  • NPI 1316338494
  NPD
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD
• Ear, Nose & Throat Associates of Savannah, PC

  • Otolaryngology Physician
  • Bluffton, SC
  • NPI 1356757546
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1053971192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 410",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162287",
            "telephone_number": "319-235-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CLINCH AVE STE 410",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162287",
            "telephone_number": "319-235-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1753 W Ridgeway Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507014588",
            "country_code": "US",
            "telephone_number": "319-833-5970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 Cyclone Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507019746",
            "country_code": "US",
            "telephone_number": "319-888-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SIEON",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "091888",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "096947",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Kilmer, FNP
• Edward D Kim, MD
• Heaza Lisa Kim, MD
• Hejung Kim, MD
• Kimberly Kim, M.D.
• Stella Kim, DDS
• Tomoko Kim, DSCPT
• Cathy Kimball, N.P.
• Jessica Brush Kimball
• Jimmy Clarke Kimball, MD

• Audiologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.