Kim Vu, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

1483 Issued in TX

Practice address

128 N Highway 77
Waxahachie, TX 75165-1800

Phone

(972) 938-7319

NPI assigned

Sep 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Innate Neuromonitoring PLLC

  • Electrodiagnostic Medicine Physician
  • Plano, TX
  • NPI 1780283549
  NPD Authorized official
• Iom Velocity PLLC

  • Technician/Technologist
  • Plano, TX
  • NPI 1730788597
  NPD Authorized official
• Pro Diagnostics PLLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1598364358
  NPD Authorized official
• Odyssey Anesthesia PA

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1487887287
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1598315194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CAMINO LAGO",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393212",
            "telephone_number": "214-505-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651800",
            "telephone_number": "972-938-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "KIM",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Villanueva, PHD, LPC-S
• Antoinette R Vincent, LPC
• Duane F Vincent, D.C.
• Vineyard Home Health LLC
• Sheila Marie Vinson, NP
• W. Griggs Dehay D.D.S., Inc.
• Haley Elyse Wagner, D.O.
• Victoria Elizabeth Wahlenmaier, DNP, APRN, FNP-BC
• Mary B Wainscott, CRNA, FNP-C
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0260)

• Electroneurodiagnostic Specialist/Technologist in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.