Individual provider Active NPI

Hee Jin Kim, L.AC

  • Acupuncturist
  • Rockville, MD
National Provider Identifier
1255611935
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02091 Issued in MD
Practice address
451 Hungerford Dr Ste 601
Rockville, MD 20850-5105
Phone
(301) 579-3311
Fax
(301) 579-3311
NPI assigned
Aug 25, 2011
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0121000569 VA
Acupuncturist 171100000X U02091 MD Primary

Addresses

Primary practice location

451 Hungerford Dr Ste 601
Rockville, MD 20850-5105

Mailing address

451 Hungerford Dr Ste 601
Rockville, MD 20850-5105
Phone (301) 579-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0121000569VAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
HK Oriental Medicine Acupuncturist Current Accepting new patients

Locations

451 Hungerford Dr
Ste 601
Rockville, MD 20850
Phone (240) 723-6078

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.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1255611935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 601",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505105",
            "telephone_number": "301-579-3311",
            "fax_number": "301-579-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 601",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505105",
            "telephone_number": "301-579-3311",
            "fax_number": "301-579-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEE",
        "middle_name": "JIN",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000569",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.