Individual provider Active NPI

Hailey Kim, NP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1164033007
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0027352 Issued in OH
Practice address
5059 N High St
Columbus, OH 43214-1589
Phone
(614) 987-7537
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 0027352 OH Primary

Addresses

Primary practice location

5059 N High St
Columbus, OH 43214-1589

Mailing address

135 Arrowfeather LN
Lewis Center, OH 43035-6121
Phone (614) 477-6542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200824002935 OH Practitioner - Nurse Practitioner 3274950118 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Urgent Care LLCGroup PAC ID 9032516778, 11 clinicians

Practice addresses (Care Compare)

3206 Broadway
Grove City, OH 43123-1932
Phone (614) 594-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0027352OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Feb 15, 2023 Accepting new patients
Imed Urgent Care LLC CurrentSince Mar 27, 2025 Accepting new patients
Incare Health Solutions LLC CurrentSince Aug 17, 2020 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Feb 15, 2023 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Aug 17, 2020 Accepting new patients
Mobile Wound Healing LLC CurrentSince Jun 12, 2024 Accepting new patients

Locations

3331 E Broad St
Columbus, OH 43213
Phone (614) 318-2687

5059 N High St
Columbus, OH 43214
Phone (614) 987-7537

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

6313 Sawmill Rd
Dublin, OH 43017
Phone (614) 689-3627

6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980

3206 Broadway
Grove City, OH 43123
Phone (614) 318-2687

211 Edgefield Blvd
Marion, OH 43302

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1164033007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ARROWFEATHER LN",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430356121",
            "telephone_number": "614-477-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141589",
            "telephone_number": "614-987-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAILEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.