Individual provider Active NPI

Yun J Kim, DNP

  • Adult Health Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1649603846
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1124359 Issued in TX
Practice address
2944 Motley Dr Ste 401
Mesquite, TX 75150-3464
Phone
(972) 289-2273
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306573 NY
Adult Health Nurse Practitioner 363LA2200X 1124359 TX Primary

Addresses

Primary practice location

2944 Motley Dr Ste 401
Mesquite, TX 75150-3464

Mailing address

3119 Garden Brook Dr
Farmers Branch, TX 75234-2306
Phone (464) 360-0796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001834 TX Practitioner - Nurse Practitioner 6709326374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doorstep Procare Management LLCGroup PAC ID 8527366889, 11 clinicians

Practice addresses (Care Compare)

2944 Motley Dr
Suite 401
Mesquite, TX 75150-3464
Phone 9722892273107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1124359TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doorstep Procare Management LLC CurrentSince Aug 1, 2024 Accepting new patients
Prime Group Medical Clinic LLC CurrentSince Nov 5, 2024 Accepting new patients
Dr. Lees Medical Associates, LLP Past Accepting new patients

Locations

3224 Interstate 30
Ste 148
Mesquite, TX 75150
Phone (469) 438-4493

2944 Motley Dr
Ste 401
Mesquite, TX 75150
Phone (972) 289-2273

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1649603846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 GARDEN BROOK DR",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752342306",
            "telephone_number": "464-360-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 MOTLEY DR STE 401",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503464",
            "telephone_number": "972-289-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YUN",
        "middle_name": "J",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306573",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1124359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.