Chloe Kimiabakhsh, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95028751 Issued in CA

Practice address

38 Hemlock Dr
Great Neck, NY 11024-1234

Phone

(516) 680-4647

NPI assigned

May 6, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1073361002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HEMLOCK DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241234",
            "telephone_number": "516-680-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HEMLOCK DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241234",
            "telephone_number": "516-680-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMIABAKHSH",
        "first_name": "CHLOE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95234260",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "789857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyung Hyun Kim, DDS
• Nancy Kim, MA, PT
• Sungsoo Kim, MD
• Tyler Y Kim
• Young Dong Kim, PT
• Kinect Physical Therapy, P.C.
• Cynthia P King
• Kings Point Medical, PLLC
• Jessica Kinsley, MS, CGC
• James M Kipnis, MD

• Family Nurse Practitioner in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.