Injung Kim

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024170933 Issued in VA

Practice address

10801 Main St Ste 700
Fairfax, VA 22030-4745

Phone

(703) 591-4100

Fax

(703) 591-5380

NPI assigned

Jul 8, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Michael D Kim MD PC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1609812510

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1487095311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 MAIN STREET SUIT 700",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 MAIN ST STE 700",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304745",
            "telephone_number": "703-591-4100",
            "fax_number": "703-591-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "INJUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024170933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haeun Kim, NP
• Haley Chih Han Hsieh Kim
• Hanna L Kim, PA
• Hanwool Kim, DDS
• Harrison J Kim
• James Chonghyuk Kim, D.C., P.C.
• Jamie Kim, PMHNP
• Jennifer Kim, D.M.D.
• Jenny Kim
• Jerry Chongmin Kim, DDS

• Adult Health Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.