So Hee Kim, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60757027 Issued in WA

Practice address

400 S 43Rd St
Renton, WA 98055-5714

Phone

(425) 656-5566

Fax

(425) 656-5556

NPI assigned

May 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brain and Memory Health Group PLLCGroup PAC ID 7012359300, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brain and Memory Health Group PLLC

  • Geriatric Psychiatry Physician
  • Seattle, WA
  • NPI 1508612847
  Medicare reassignment Care Compare group NPD
• South Puget Sound Neurology, PLLC

  • Neurology Physician
  • Tacoma, WA
  • NPI 1194052357

  Nurse Practitioner

  Medicare reassignment NPD
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574

  Nurse Practitioner

  Medicare reassignment NPD
• Patrick J. Hogan III, D.O.

  dba Puget Sound Neurology

  • Neurology Physician
  • Tacoma, WA
  • NPI 1871649285
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1679001846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34876",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241876",
            "telephone_number": "425-656-5412",
            "fax_number": "425-656-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "425-656-5566",
            "fax_number": "425-656-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 15th Ave S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981081874",
            "country_code": "US",
            "telephone_number": "425-494-3554",
            "fax_number": "206-538-2563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SO HEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60757027",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60757027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Kim, LMFTA
• Richard Dong Suk Kim, MD
• Sam DK Kim, DMD
• Sang C. Kim, D.D.S
• Sang-Mun Kim
• Susan Kim, PHARMD
• Tae Yong Kim, CHIROPRACTOR
• Kim's Chiropractic Clinic Inc (Best Spine Clinic)
• Caroline Wanjiku Kimani, PHARM.D
• Lori Kimmerly, LMFT

• Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.