Jennifer Megan Kim, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME109986 Issued in FL

Practice address

5601 9TH St N
St Petersburg, FL 33703-1205

Phone

(727) 525-2161

Fax

(727) 527-1968

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jenniferkim@sgnmdpa.allscriptsdirect.net

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.

• Stephen G. Nelson, M.D., PA

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1316152713
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1114189552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031205",
            "telephone_number": "727-525-2161",
            "fax_number": "727-527-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031205",
            "telephone_number": "727-525-2161",
            "fax_number": "727-527-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME109986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Jeewon Kim, DO
• Aubrey Kim, PHARMD
• Esther E Kim, MS ATC
• Hannah Kim, RN
• Hyun Sook Kim
• Lindsey Marie Kim
• Patricia Heesoo Kim, MD
• Kimberly Carnall LLC
• Kimberly Grill DO P L C
• April Kimble, ARNP

• Pediatrics Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.