Individual provider Active NPI

Christina Kim, NP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1487823928
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60746454 Issued in WA
Practice address
1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone
(206) 548-3058
Fax
(206) 262-0859
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP10823 CA
Nurse Practitioner 363L00000X AP60746454 WA Primary

Addresses

Primary practice location

1200 12TH Ave S Ste 901
Seattle, WA 98144-2712

Mailing address

1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3058

Other practice location 1

1515 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-6300 ext. 6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100115000320 CA Practitioner - Nurse Practitioner 1254473101 Reassigns benefits to 1 organization
I20230926002514 WA Practitioner - Nurse Practitioner 1254473101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10823CAMDOptometrist
NP10823CAMDNurse Practitioner
AP60746454WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Jul 9, 2023 Accepting new patients
Neighborcare Health CurrentSince Jul 9, 2023 Accepting new patients
Alameda Health System CurrentSince Jul 15, 2015 Accepting new patients
Neighborcare Health Current Accepting new patients
Neighborcare Health Current Accepting new patients
Alameda Health System CurrentSince Jul 15, 2015 Accepting new patients
Neighborcare Health Past Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

9245 Rainier Ave S
Ste 4
Seattle, WA 98118

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

Interoperability endpoints

  • Direct secure messaging: cristina.kimnp.p1@direct.jwch.nextgenshare.com
  • Direct secure messaging: ckim373284@direct.ochin.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1487823928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3058",
            "fax_number": "206-262-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3058",
            "fax_number": "206-262-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Fruitvale Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012322",
            "country_code": "US",
            "telephone_number": "510-535-6300 x6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP10823",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60746454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.