Jieun Kim, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA60239129 Issued in WA

Practice address

18802 Mountain View Dr E
Bonney Lake, WA 98391-7110

Phone

(253) 886-0855

Fax

(253) 941-3896

NPI assigned

Nov 17, 2016

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Facial Prosthetic and Hearing Service Corp

  • Denturist
  • Kent, WA
  • NPI 1063233674
  NPD (past)
• Comfy Denture & Hearing Service Corp

  • Denturist
  • Bonney Lake, WA
  • NPI 1174066484

  Hearing Instrument Specialist

  NPD (past)
• Min-N-Out Dental&Denture Service Corp.

  • Dentist
  • Kent, WA
  • NPI 1063336873

  Hearing Instrument Specialist

  NPD (past)
• Min-N-Out Dental&Denture Service Corp.

  • Denturist
  • Federal Way, WA
  • NPI 1437584349
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1447792767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16014 24TH ST E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983914908",
            "telephone_number": "253-886-0855",
            "fax_number": "253-941-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802 MOUNTAIN VIEW DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917110",
            "telephone_number": "253-886-0855",
            "fax_number": "253-941-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIEUN",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA60239129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurnit Kaur, PHARMACIST
• Samantha Keely
• Hannah Joy Kercher, B.A., MACP
• Kevin H Sakai DDS PLLC
• Hyunju Kim
• Rebecca Kiyo, REGISTERED NURSE
• Kimber Lee Kober
• Kojmar Trans LLC
• Julie A Komarow, MD
• Yulya Korniychuk, LMP

• Hearing Instrument Specialist in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Hearing Instrument Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.