Active NPI
Simone Kim, RN
- School Registered Nurse
- Claremont, CA
National Provider Identifier
1629445374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 95023078
- Practice address
- 757 N College Ave
Claremont, CA 91711-3944 - Phone
- (909) 607-8222
- NPI assigned
- Aug 28, 2015
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 95023078 | CA | Primary |
Addresses
Primary practice location
757 N College Ave
Claremont, CA 91711-3944
Mailing address
757 N College Ave
Claremont, CA 91711-3944
Phone (909) 607-8222
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95023078 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1629445374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 N COLLEGE AVE",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113944",
"telephone_number": "909-607-8222",
"fax_number": "909-607-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 N COLLEGE AVE",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113944",
"telephone_number": "909-607-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SIMONE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "CA",
"license": "95023078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
- Tatiana Jacqueline Khawaja
- Kids First Pediatric Therapy, Inc.
- Adrienne Kwapien Kijak, LCSW
- Tiffany Lynn Kilbas, D.O.
- Hakyung Kim, PHARMD
- Anna King, LCSW
- Kathleen Anne King, NP
- Kitichai Rungcharassaeng DDS, Ms, and Howard Lee, DMD, Ms, Inc
- Christine Jennifer Knapp-Phillips, FNP
- Suzanne Gaudineer Knutzen, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.