Active NPI
Daniel Kim, APRN PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
National Provider Identifier
1356284871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 42634
- Practice address
- 871 Ridgeway Loop Rd Ste 108
Memphis, TN 38120-4026 - Phone
- (901) 295-0199
- NPI assigned
- Apr 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 42634 | TN | Primary |
Addresses
Primary practice location
871 Ridgeway Loop Rd Ste 108
Memphis, TN 38120-4026
Mailing address
871 Ridgeway Loop Rd Ste 108
Memphis, TN 38120-4026
Phone (615) 224-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1356284871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 RIDGEWAY LOOP RD STE 108",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204026",
"telephone_number": "615-224-9800",
"fax_number": "615-224-9840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 RIDGEWAY LOOP RD STE 108",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204026",
"telephone_number": "901-295-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DANIEL",
"credential": "APRN PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-10",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "42634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.