Active NPI
Wi Lee Lee Kim, N.P.
- Adult Health Nurse Practitioner
- Oakland, CA
National Provider Identifier
1609837780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NN05857800
- Practice address
- 250 East 18TH Street
Oakland, CA 94606 - Phone
- (510) 735-3888
- Fax
- (510) 628-0568
- NPI assigned
- Mar 29, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN05857800 | NJ | Primary |
Addresses
Primary practice location
250 East 18TH Street
Oakland, CA 94606
Mailing address
250 East 18TH Street
2ND Floor
Oakland, CA 94606
Phone (510) 735-3888
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN05857800 | NJ | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609837780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 EAST 18TH STREET",
"address_2": "2ND FLOOR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94606",
"telephone_number": "510-735-3888",
"fax_number": "510-628-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 EAST 18TH STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94606",
"telephone_number": "510-735-3888",
"fax_number": "510-628-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "WI LEE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN05857800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.