Individual provider Active NPI

Seung Kim, NP

  • Family Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1285232165
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
248058 Issued in AZ
Practice address
14506 W Granite Valley Dr Ste 110
Sun City West, AZ 85375-6011
Phone
(623) 444-6463
Fax
(623) 213-8145
NPI assigned
Oct 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 248058 AZ Primary

Addresses

Primary practice location

14506 W Granite Valley Dr Ste 110
Sun City West, AZ 85375-6011

Mailing address

14506 W Granite Valley Dr Ste 110
Sun City West, AZ 85375-6011
Phone (623) 444-6463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230209001280 AZ Practitioner - Nurse Practitioner 4789056268 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Health Institute, LLC CurrentSince Jan 26, 2023 Accepting new patients

Locations

13925 W Meeker Blvd
Ste 9
Sun City West, AZ 85375
Phone (480) 780-3030

14506 W Granite Valley Dr
Ste 110
Sun City West, AZ 85375
Phone (623) 444-6463

14510 W Shumway Dr
Ste 201
Sun City West, AZ 85375
Phone (623) 444-6463

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18798/brand/1/csg/1/fhir/r4

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1285232165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR STE 110",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756011",
            "telephone_number": "623-444-6463",
            "fax_number": "623-213-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14506 W GRANITE VALLEY DR STE 110",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853756011",
            "telephone_number": "623-444-6463",
            "fax_number": "623-213-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEUNG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "248058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.