Active NPI
Deborah Kim, APRN
- Clinical Nurse Specialist
- Salt Lake City, UT
National Provider Identifier
1538452479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 220582-9938
- Practice address
- 807 E South Temple
Ste# 101
Salt Lake City, UT 84102-1339 - Phone
- (801) 746-0776
- Fax
- (801) 746-0775
- NPI assigned
- May 25, 2011
- Last updated
- May 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 220582-9938 | UT | Primary |
Addresses
Primary practice location
807 E South Temple
Ste# 101
Salt Lake City, UT 84102-1339
Mailing address
807 E South Temple
Ste# 101
Salt Lake City, UT 84102-1339
Phone (801) 746-0776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220582-9938 | UT | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1538452479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 E SOUTH TEMPLE",
"address_2": "STE# 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021339",
"telephone_number": "801-746-0776",
"fax_number": "801-746-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 E SOUTH TEMPLE",
"address_2": "STE# 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021339",
"telephone_number": "801-746-0776",
"fax_number": "801-746-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DEBORAH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "UT",
"license": "220582-9938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.