Marshall Kim, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60637595 Issued in WA

Practice address

14450 NE 29TH PL Ste 203
Bellevue, WA 98007-8616

Phone

(425) 998-7884

NPI assigned

Oct 1, 2014

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Male

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

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Seattle Pain Relief PLLC

  • Family Medicine Physician
  • Federal Way, WA
  • NPI 1710240841
  Medicare reassignment NPD
• Seattle Pain Relief PLLC

  dba Federal Way Ambulatory Surgical Facility

  • Ambulatory Surgical Clinic/Center
  • Federal Way, WA
  • NPI 1902447386
  NPD
• Bellevue Pain and Wellness PLLC

  • Pain Medicine Physician
  • Bellevue, WA
  • NPI 1740822139
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1346643608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14450 NE 29TH PL STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980078616",
            "telephone_number": "425-998-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 NE 29TH PL STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980078616",
            "telephone_number": "425-998-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MARSHALL",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60637595",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "23668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Kim, DPT
• Keunhee (Casey) Kim, M.ED
• Leah Kim
• Linda B. Kim, MD
• Lisa C Kim, DDS
• Minju Kim, LH61111580
• Nam Hyoung Kim, LAC., OMD
• Sang U Kim, M.D.
• Sean Kim, DC
• Seongeun Kim, PHARM.D

• Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.