Active NPI
Jaime Kim, REGISTERED NURSE
- Family Nurse Practitioner
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.1001389-NP
- Practice address
- 6650 S Vine St Ste 100
Centennial, CO 80121-2740 - Phone
- (303) 535-7548
- Fax
- (888) 504-2390
- NPI assigned
- Oct 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1671048 | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.1001389-NP | CO | Primary |
Addresses
Primary practice location
6650 S Vine St Ste 100
Centennial, CO 80121-2740
Mailing address
9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (720) 340-9966
Other practice location 1
9195 Grant St Ste 130
Thornton, CO 80229-4348
Phone (303) 535-7548
Other practice location 2
1240 S Parker Rd Ste 100
Denver, CO 80231-2177
Phone (303) 535-7548
Other practice location 3
916 S Main St Unit 208
Longmont, CO 80501-6617
Phone (303) 535-7548
Other practice location 4
9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (720) 340-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Colorado School of Medicine, Denver, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6650 S Vine St
Suite 100
Centennial, CO 80121-2740
Phone (303) 535-7548
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1671048 | CO | MD | Registered Nurse |
| APN.1001389-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klarisana Physician Services PLLC | Past | Accepting new patients | |
| Klarisana Physician Services PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDIJDD/Endpoint/HDIJDD
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.
-
- Clinic/Center
- Thornton, CO
- NPI 1902418965
-
- General Practice Physician
- Denver, CO
- NPI 1013384866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1477334373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9395 CROWN CREST BLVD",
"city": "PARKER",
"state": "CO",
"postal_code": "801388573",
"telephone_number": "720-340-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 S VINE ST STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801212740",
"telephone_number": "303-535-7548",
"fax_number": "888-504-2390"
}
],
"practiceLocations": [
{
"address_1": "9195 Grant St Ste 130",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802294348",
"country_code": "US",
"telephone_number": "303-535-7548",
"fax_number": "888-504-2390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1240 S Parker Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802312177",
"country_code": "US",
"telephone_number": "303-535-7548",
"fax_number": "888-504-2390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "916 S Main St Unit 208",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "805016617",
"country_code": "US",
"telephone_number": "303-535-7548",
"fax_number": "888-504-2390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9395 Crown Crest Blvd",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801388573",
"country_code": "US",
"telephone_number": "720-340-9966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JAIME",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1671048",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.1001389-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.