Jo Ann Kim, RN, PHD, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN764248 Issued in PA

Practice address

222 Creek Dr
Lebanon, PA 17042-8714

Phone

(605) 202-1410

NPI assigned

Jul 2, 2025

Last updated

Jul 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1356230437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CREEK DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170428714",
            "telephone_number": "605-202-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CREEK DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170428714",
            "telephone_number": "605-202-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JO ANN",
        "credential": "RN, PHD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "PA",
            "license": "RN764248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usman Ahmed Khokhar, DPM
• Sehar A Khokher, MD
• Nangobi U. Kiboigo, MD
• Roger Kevin Kier, M.S.W, L.C.S.W.
• Tina L Killmer
• Shayla Kimmel, LCSW
• Seni Zwane King
• Jonathan T Kinley, D.O.
• Lindsay R Kio, PA-C, ATC
• Eric Michael Kipp, RPH

• Diabetes Educator Registered Nurse in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Diabetes Educator Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.