Yana Kim

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1073115 Issued in TX

Practice address

3301 Matlock Rd
Arlington, TX 76015-2908

Phone

(682) 509-6200

NPI assigned

Mar 22, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Pain and Rehabilitation PLLCGroup PAC ID 2466616032, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFFBCD

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.

• Paragon Pain & Rehabilitation PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Richardson, TX
  • NPI 1780958777
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1548919004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 MEADOW VISTA DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750076047",
            "telephone_number": "702-985-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152908",
            "telephone_number": "682-509-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 Meadow Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750076047",
            "country_code": "US",
            "telephone_number": "702-985-7789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Matlock Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152908",
            "country_code": "US",
            "telephone_number": "682-509-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1073115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Meditech",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3301 Matlock Rd",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760152908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hawoon Kim, DDS
• Ji Yoon Kim, DDS
• Julie Yunji Kim, AGPCNP-BC
• Peter Kim, MD
• Suyeon Kim
• Kimberly Udell D.O., P.a.
• Kind Loving Care, LLC
• Kinetic Balance Therapeutic Massage LLP
• Kineticare Rehab Services P.C. (Rehab at Home Healthcare Services)
• Colleen King

• Acute Care Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.

Verify at the official NPI Registry.