Individual provider Active NPI

Elaine I. Kim, MSN-FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1144536400
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
729301 Issued in TX
Practice address
6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone
(972) 378-9560
Fax
(844) 290-4363
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 729301 TX Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 536
Plano, TX 75093-8137

Mailing address

6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone (972) 378-9560

Other identifiers 1

IdentifierTypeStateIssuer
217423701MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekim225579@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000388 TX Practitioner - Nurse Practitioner 0648466599 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cardio and Renal Therapeutics of North Texas PLLCGroup PAC ID 7810329638, 32 clinicians
Heartplace PLLCGroup PAC ID 2769386473, 90 clinicians

Practice addresses (Care Compare)

5830 Collin McKinney Pkwy
Suite 302
McKinney, TX 75070-5109
Phone (214) 272-2774

6124 W Parker Rd
Suite 536
Plano, TX 75093-8137
Phone (972) 378-9560

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
729301TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince May 15, 2022 Accepting new patients
Heartplace, PLLC CurrentSince May 15, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 13, 2018 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 13, 2018 Accepting new patients
Century Integrated Partners, Inc CurrentSince Sep 17, 2016 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Aug 1, 2020 Accepting new patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Mar 1, 2022 Accepting new patients
Heartplace, PLLC Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

1105 Central Expy N
Ste 2330
Allen, TX 75013
Phone (972) 378-9560

997 Raintree Cir
Ste 140
Allen, TX 75013
Phone (972) 332-3366

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

3600 Gaston Ave
Ste 651
Dallas, TX 75246
Phone (214) 370-3006

3500 Gaston Ave
Dallas, TX 75246

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

6124 W Parker Rd
Ste 536
Plano, TX 75093
Phone (972) 378-9560

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

300 N Highland Ave
Ste 310
Sherman, TX 75092
Phone (903) 957-0003

Interoperability endpoints

  • Direct secure messaging: ekim225579@direct.sw.org
  • Direct secure messaging: elaine.kim@ushv.eclinicaldirectplus.com
  • Direct secure messaging: elaine.kim.1@14273.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1144536400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ELAINE",
        "middle_name": "I.",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "729301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217423701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekim225579@direct.sw.org",
            "affiliation": "N",
            "address_1": "2005 W Park Dr Ste 300",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750612034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.