Jennifer L Kim, APRN, BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN7512 Issued in TN

Practice address

370 First Hall
46121St Avenue South
Nashville, TN 37240-0001

Phone

(615) 936-0736

Fax

(615) 936-0228

NPI assigned

Jul 6, 2007

Last updated

May 30, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• Compassionate Health Associates, PLLC

  • Internal Medicine Physician
  • Franklin, TN
  • NPI 1437429552
  Medicare reassignment NPD
• William G Boger MD PLLC

  • Internal Medicine Physician
  • Spring Hill, TN
  • NPI 1013224617
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1386842862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 FIRST HALL",
            "address_2": "46121ST AVENUE SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372400001",
            "telephone_number": "615-936-0736",
            "fax_number": "615-936-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 FIRST HALL",
            "address_2": "46121ST AVENUE SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372400001",
            "telephone_number": "615-936-0736",
            "fax_number": "615-936-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN7512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE LICENSE",
            "identifier": "APN7512",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dong W Kim, M.D.
• Elliott Jiwoo Kim, M.D.
• Eun Ha Kim, PH.D.
• Hannah Paik Kim, M.D.
• Janet S Kim, MD
• Jenny Jina Kim, MD
• John Kim, DDS
• Justine Mimi Kim
• Lily Yonsoo Kim, MD
• Mellanie Kim, D.M.D.

• Gerontology Nurse Practitioner in Nashville, TN
• Providers in Nashville, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.