Individual provider Active NPI

Julie Min Jeong Kim, A.P.

  • Acupuncturist
  • Miami Shores, FL
National Provider Identifier
1427507664
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3769 Issued in FL
Practice address
9999 NE 2ND Ave Ste 313
Miami Shores, FL 33138-2346
Phone
(305) 771-2115
NPI assigned
Sep 29, 2016
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3769 FL Primary

Addresses

Primary practice location

9999 NE 2ND Ave Ste 313
Miami Shores, FL 33138-2346

Mailing address

455 NE 25TH St Apt 808
Miami, FL 33137-4757
Phone (305) 803-1050

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

State licenses

LicenseStateTypeSpecialty
AP3769FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acuvitals Acupuncturist CurrentSince Feb 11, 2024 Accepting new patients
Jules Acupuncture, Inc Acupuncturist Past Accepting new patients

Locations

9999 NE 2nd Ave
Ste 313
Miami Shores, FL 33138
Phone (305) 771-2115

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1427507664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NE 25TH ST APT 808",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374757",
            "telephone_number": "305-803-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE STE 313",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382346",
            "telephone_number": "305-771-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JULIE",
        "middle_name": "MIN JEONG",
        "credential": "A.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.