Seon Yeong Kim

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1076010 Issued in TX

Practice address

3044 Old Denton Rd Ste 115
Carrollton, TX 75007-5074

Phone

(972) 245-2876

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1376289009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 115",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 115",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075074",
            "telephone_number": "972-245-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEON YEONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1076010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Kim, PHARMD
• Julie J Kim
• Kelly Seojung Kim, DDS
• Lydia Yu Kim, M.S., LAT, ATC
• Rachel Nury Kim, DR
• Stephen Kim, LPC
• Tae Kim, DMD
• Elizabeth Wanjeri Kimani
• Jordan Kimmey, DPT
• Bryce Richard Kindley, D.C.

• Family Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.