Kim Tran, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1109326 Issued in TX

Practice address

2230 Clarebrooke Dr
Grand Prairie, TX 75050-0100

Phone

(817) 240-6229

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1124724729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 CLAREBROOKE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750500100",
            "telephone_number": "817-240-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 CLAREBROOKE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750500100",
            "telephone_number": "817-240-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1109326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toye Elewode
• Dien Tran, PHARMD
• Frank Tran, OD
• Huy Huu Tran, OD
• Janel K Tran, PHARM.D
• Mai Thi Tran, MD
• Mary Linda Tran
• Michael Dung Tran
• Mychele Tran, O.D.
• Neenee Tran

• Acute Care Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.