Jeanie Lee Kim, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

95034929 Issued in CA

Practice address

11160 Warner Ave Ste 411
Fountain Valley, CA 92708-4056

Phone

(714) 513-1399

NPI assigned

Jul 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1336022300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 411",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084056",
            "telephone_number": "714-513-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 411",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084056",
            "telephone_number": "714-513-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 Wilshire Blvd Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174005",
            "country_code": "US",
            "telephone_number": "626-662-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEANIE",
        "middle_name": "LEE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "MA",
            "license": "RN2349468",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "CA",
            "license": "95415963",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2349468",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95034929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Kim, BT
• Andrew Chun Kim, DDS
• Chung Won Kim
• Ephraim Kim
• Jamie E Kim, M.D.
• Jiyoung Wittemore Kim
• Kenneth Kim, M.D
• Kirsten M Kim, PA-C
• Kristen Jane Kim
• Quy N Kim, DDS

• Women's Health Nurse Practitioner in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.