Catherine Hong Kim, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5014311 Issued in NC

Practice address

210 Medical Pavilion Drive
Emergency Department
Raeford, NC 28376-8957

Phone

(910) 904-8071

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ckim427578@christushealth.direct-ci.net
• Direct secure messaging: ckim101309@capefearvalley.direct-ci.com

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.

• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Comal Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • San Marcos, TX
  • NPI 1588438675

  Single Specialty

  Medicare reassignment NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• TMC Provider Group PLLC

  dba Texas MedClinic

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1922463728

  Single Specialty

  NPD

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1578021309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MEDICAL PAVILION DRIVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768957",
            "telephone_number": "910-904-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEDICAL PAVILION DRIVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768957",
            "telephone_number": "910-904-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283112202",
            "country_code": "US",
            "telephone_number": "910-354-3372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CATHERINE",
        "middle_name": "HONG",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F02210020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "5014311",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jabreya Kersey
• Iqbal M Khan, M.D.
• Latifa Khoubach
• Kids First Pediatrics of Raeford, PC
• Kids Imagination Play Station
• Suzanne Teresa Kim
• Ashley Marika Moneek King
• Princess Alice King, MA.,CNA
• Michael Kivett
• Jessica Knadler

• Nurse Practitioner in Raeford, NC
• Providers in Raeford, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.