Organization Active NPI

R&K Wellness Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1457239337
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
R&K WELLNESS GROUP LLC
Practice address
9210 Corporate Blvd Ste 440
Rockville, MD 20850-6520
Phone
(301) 284-0476
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Authorized official

Name
Jinmin Kim, NPNPI 1467820290
Title
Pmhnp-BC; FNP-BC/ Owner
Phone
(301) 719-5915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9210 Corporate Blvd Ste 440
Rockville, MD 20850-6520

Mailing address

9210 Corporate Blvd Ste 440
Rockville, MD 20850-6520
Phone (301) 719-5915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260609001815 DC Part B Supplier - Clinic/Group Practice 0941771158 Receives reassigned benefits from 2 practitioners
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory
Tax ID family
RK Wellness Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12345 Parklawn Dr
Ste 200
Rockville, MD 20852
Phone (240) 242-7385

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775952000000",
    "number": "1457239337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 CORPORATE BLVD STE 440",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506520",
            "telephone_number": "301-719-5915",
            "fax_number": "301-235-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 CORPORATE BLVD STE 440",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506520",
            "telephone_number": "301-284-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&K WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JINMIN",
        "authorized_official_title_or_position": "PMHNP-BC; FNP-BC/ OWNER",
        "authorized_official_telephone_number": "301-719-5915",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.