Active NPI
Hailey Kim, NP
- Family Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0027352
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0027352 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Imed Urgent Care LLC | Current | Accepting new patients | |
| Incare Health Solutions LLC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Incare Health Solutions, LLC | Family | Current | Accepting new patients |
| Mobile Wound Healing LLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.