Active NPI
Yoonmi Kim
- Family Nurse Practitioner
- Austin, TX
National Provider Identifier
1083179279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139562
- Practice address
- 7901 Metropolis Dr
Austin, TX 78744 - Phone
- (512) 823-4000
- NPI assigned
- Feb 1, 2019
- Last updated
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | AP139562 | TX | Primary |
Addresses
Primary practice location
7901 Metropolis Dr
Austin, TX 78744
Mailing address
7901 Metropolis Dr
Austin, TX 78744-3111
Phone (512) 823-4000
Other practice location 1
223 W Anderson Ln Ste A100
Austin, TX 78752-1131
Phone (404) 889-2012
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | yoonmikim.rn@gmail.com | ||
| CONNECT URL | yoonmikim.rn@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP139562 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1083179279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 METROPOLIS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787443111",
"telephone_number": "512-823-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 METROPOLIS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78744",
"telephone_number": "512-823-4000"
}
],
"practiceLocations": [
{
"address_1": "223 W Anderson Ln Ste A100",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787521131",
"country_code": "US",
"telephone_number": "404-889-2012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "YOONMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-01",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP139562",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "yoonmikim.rn@gmail.com",
"affiliation": "N",
"address_1": "7901 Metropolis Dr",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787443111",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "yoonmikim.rn@gmail.com",
"affiliation": "N",
"address_1": "7901 Metropolis Dr",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "78744",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.