January J Kim, ARNP

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

T083414 Issued in IA

Practice address

1441 29TH St Ste 305
West Des Moines, IA 50266-1309

Phone

(515) 985-2024

Fax

(515) 985-2025

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• January J Gray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 14, 2011 through Feb 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lindenpointclinicalassociates.januarykim@145943.advancedmd-direct.com

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.

• Linden Point Clinical Associates PC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Urbandale, IA
  • NPI 1386263747

  Psychiatric/Mental Health, Child & Adolescent

  NPD Authorized official
• Center Associates

  • Cognitive & Behavioral Psychologist
  • Marshalltown, IA
  • NPI 1942251160
  NPD (past)
• Kavalier & Associates PC

  • Marriage & Family Therapist
  • West Des Moines, IA
  • NPI 1497717946

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1609845759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 29TH ST STE 305",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661309",
            "telephone_number": "515-985-2024",
            "fax_number": "515-985-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 29TH ST STE 305",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661309",
            "telephone_number": "515-985-2024",
            "fax_number": "515-985-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANUARY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IA",
            "license": "083414",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "T083414",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IA",
            "license": "T083414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HC",
            "identifier": "IA0132",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "43845",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045898",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANUARY",
            "last_name": "GRAY",
            "middle_name": "J",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Khan Family Medical Clinic
• Mahruq Khan, PA-C
• Kevin Kilcawley, PSY.D.
• Kim Comer LLC
• Christopher Kim, B.SC., M.D.
• Joshua T Kim
• Emma William Kime, ARNP
• Cameron Kincaid
• Kindred Hope Therapy
• Allison King

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.