Michelle Heesung Kim

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61045635 Issued in WA

Practice address

4401 S Western Ave
Oklahoma City, OK 73109-3413

Phone

(405) 636-7000

NPI assigned

Oct 6, 2019

Sex

Female

Sole proprietor

Yes

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 WA, NV2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21373/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.

• Westcare Clinic Inc PS

  • General Practice Physician
  • Renton, WA
  • NPI 1881769552
  Medicare reassignment NPD
• Premier Medical Group LLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1447899448
  NPD
• Tran Urgent Care & Wellness Centers LLC

  • Urgent Care Clinic/Center
  • Tacoma, WA
  • NPI 1003446857
  NPD (past)

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1104467620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5614",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730705614",
            "telephone_number": "405-636-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093413",
            "telephone_number": "405-636-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MICHELLE",
        "middle_name": "HEESUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-06",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0113839",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61045635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald H Kim, M.D.
• Esther H Kim, AUD
• Jaewon Kim
• Jillian Kim
• Kelly Kwanghee Kim, M.A. TESOL, AAS-SLPA
• Seyoung Kim, D.C.
• Tony Kim, DO
• Yeram Kim, DDS
• Yu-Il Joe Kim, D.D.S.
• Janice L. Kimball, LCSW

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.