Joyce Hellen Kim, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11840 Issued in CA

Practice address

805 West Laveta
Suite 103
Orange, CA 92868

Phone

(714) 997-8911

Fax

(714) 997-4911

NPI assigned

Jun 3, 2009

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

Other names 1

• Mrs. Joyce Hellen Shin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1578799672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13843 DOVE CANYON WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392272",
            "telephone_number": "909-646-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WEST LAVETA",
            "address_2": "SUITE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-997-8911",
            "fax_number": "714-997-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOYCE",
        "middle_name": "HELLEN",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "11840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "SHIN",
            "middle_name": "HELLEN",
            "prefix": "MRS.",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnathan Kim
• Joo Y Kim
• Joon Kim, MD
• Joseph Hak Soo Kim, MD
• Joseph Kendall Kim, M.D.
• Joyce Sooyeon Kim
• Jung Won Kim
• Jungwon Kim, LMFT
• Juri Kim
• Kate Kim

• Pediatric Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.