Individual provider Active NPI

Jaime Kim, REGISTERED NURSE

  • Family Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1477334373
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1001389-NP Issued in CO
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

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519002671 CO Practitioner - Nurse Practitioner 6507335544 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1671048COMDRegistered Nurse
APN.1001389-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Klarisana Physician Services PLLC Past Accepting new patients
Klarisana Physician Services PLLC PastSince Jan 1, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.