Kwang Hyun Kim, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP139147 Issued in TX

Practice address

2675 S Abilene St Ste 100
Aurora, CO 80014-2363

Phone

(720) 507-4779

Fax

(833) 941-5047

NPI assigned

Sep 8, 2020

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gulf Coast Clinical Assocaites LLC

  dba In Balance Psychiatry

  • Adult Mental Health Clinic/Center
  • Houston, TX
  • NPI 1629707674
  Medicare reassignment NPD Authorized official
• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1760928766
  Medicare reassignment NPD
• Mile High Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northglenn, CO
  • NPI 1912793894
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1093329021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S SHEPHERD DR APT 617",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193639",
            "telephone_number": "832-837-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S ABILENE ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142363",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 S Shepherd Dr Apt 617",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770193639",
            "country_code": "US",
            "telephone_number": "832-837-9556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14221 E 4th Ave Ste 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "KWANG",
        "middle_name": "HYUN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139147",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP139147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Kim, PHARMD
• John S Kim, MD
• Katie Marie Kim, AUD, CCC-A
• Kerrie Kim, PA-C
• Kevin Kim, MD
• Kyong Kim
• Mi Ran Kim, PHARMD
• Minseon Kim, MD
• Peter Kim, DDS
• Sang In Kim, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Aurora, CO
• Providers in Aurora, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.