Active NPI
Kyung Hee Kim, MS, CNS, LDN
- Nutritionist
- Washington, DC
National Provider Identifier
1407244478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX3658
- Practice address
- 4525 Salem LN NW
Washington, DC 20007-1920 - Phone
- (202) 321-2801
- NPI assigned
- Dec 29, 2014
- Last updated
- Dec 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX3658 | MD | Primary |
Addresses
Primary practice location
4525 Salem LN NW
Washington, DC 20007-1920
Mailing address
4525 Salem LN NW
Washington, DC 20007-1920
Phone (202) 321-2801
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
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX3658 | MD | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1407244478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 SALEM LN NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200071920",
"telephone_number": "202-321-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 SALEM LN NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200071920",
"telephone_number": "202-321-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KYUNG HEE",
"credential": "MS, CNS, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-29",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "DX3658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.