Yeon Jeong Kim

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9591915 Issued in FL

Practice address

3150 W Rolling Hills Cir
Davie, FL 33328-1950

Phone

(954) 579-6779

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1285334037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 W ROLLING HILLS CIR APT 305",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281932",
            "telephone_number": "954-579-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 W ROLLING HILLS CIR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281950",
            "telephone_number": "954-579-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YEON JEONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95250876",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9591915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Heart Pediatrics PA
• Jessica Tova Kiesel, CCC-SLP
• Evren Kilinc, D.D.S, PH.D., M.P.H.
• Ki Beom Kim, DDS, MSD, PHD
• Margaret A. Kim, D.D.S.
• Kimberly Marin Ap Rd Inc
• Michael Alan Kimmelman, O.D.
• Kind Hearts Care Group LLC (Kind Hearts Senior Care & Concierge Services)
• Angela Kinderman, MMS, PA-C
• Kinesis Chiropractic, PLLC

• Registered Nurse in Davie, FL
• Providers in Davie, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.