Individual provider Active NPI

Hanna Kim, DNP, FNP-BC

  • Family Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1215645098
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61375514 Issued in WA
Practice address
8511 S Tacoma Way # 200
Lakewood, WA 98499-6521
Phone
(253) 588-4015
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 AP61375514 WA Primary

Addresses

Primary practice location

8511 S Tacoma Way # 200
Lakewood, WA 98499-6521

Mailing address

8227 S 118TH CT
Seattle, WA 98178-5181
Phone (206) 290-3798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230112001923 WA Practitioner - Nurse Practitioner 5496125270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Family Care IncGroup PAC ID 2961301205, 9 clinicians

Practice addresses (Care Compare)

8511 S Tacoma Way
Suite 200
Lakewood, WA 98499-4540
Phone (253) 588-4015

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61375514WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Family Care Inc Family CurrentSince Jan 1, 2023 Accepting new patients

Locations

33507 9th Ave S
Ste A
Federal Way, WA 98003
Phone (253) 588-4015

8511 South Tacoma Way
Ste 200
Lakewood, WA 98499
Phone (253) 588-4015

8511 South Tacoma Way
#200
Tacoma, WA 98499
Phone (253) 588-4015

Interoperability endpoints

  • Direct secure messaging: hanna.kim@935423204130820.direct.elationemr.com

Organizations & group practices 1

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 4

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1215645098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 S 118TH CT",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981785181",
            "telephone_number": "206-290-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 S TACOMA WAY # 200",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984996521",
            "telephone_number": "253-588-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61375514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.