Individual provider Active NPI

Liliana Kim, DNP, FNP-C, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1326652900
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024179788 Issued in VA
Practice address
1232 Perimeter Pkwy Ste 100
Virginia Beach, VA 23454-5924
Phone
(757) 785-0715
NPI assigned
Sep 1, 2020
Last updated
Apr 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024179788 VA Primary

Addresses

Primary practice location

1232 Perimeter Pkwy Ste 100
Virginia Beach, VA 23454-5924

Mailing address

1232 Perimeter Pkwy Ste 100
Virginia Beach, VA 23454-5924
Phone (757) 785-0715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220413000291 VA Practitioner - Nurse Practitioner 5092101311 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Aria Psychiatry PLLCGroup PAC ID 3779006945, 2 clinicians
Coastal Medical and Psychiatric Services IncGroup PAC ID 4183948060, 19 clinicians

Practice addresses (Care Compare)

1232 Perimeter Pkwy
Suite 100
Virginia Beach, VA 23454-5924
Phone (757) 219-2785

825 Diligence Dr
Suite 206
Newport News, VA 23606-4272
Phone (757) 310-6900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical and Psychiatric Services Inc. CurrentSince Mar 1, 2022 Accepting new patients
Reboot Functional Health Care Corporation Family Medicine CurrentSince Dec 30, 2022 Accepting new patients
Beach Counseling, LLC CurrentSince Dec 30, 2022 Accepting new patients
Aria Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jan 5, 2025 Accepting new patients
Maryview Hospital LLC PastSince Apr 20, 2025 Accepting new patients

Locations

825 Diligence Dr
Ste 100
Newport News, VA 23606
Phone (757) 268-7612

825 Diligence Dr
Ste 206
Newport News, VA 23606
Phone (757) 310-6900

1232 Perimeter Pkwy
Ste 100
Virginia Beach, VA 23454
Phone (757) 219-2785

2528 Las Brisas Dr
Virginia Beach, VA 23456
Phone (757) 301-6985

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1326652900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 PERIMETER PKWY STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545924",
            "telephone_number": "757-785-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 PERIMETER PKWY STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545924",
            "telephone_number": "757-785-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LILIANA",
        "credential": "DNP, FNP-C, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024179788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.