Jung Mi Kim, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024177280 Issued in VA

Practice address

1230 Alverser Dr Ste 100
Midlothian, VA 23113-2653

Phone

(804) 893-7800

NPI assigned

Jan 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jung Mi De Thouars Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1699239293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 LIESFELD PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606018",
            "telephone_number": "804-426-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ALVERSER DR STE 100",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132653",
            "telephone_number": "804-893-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG",
        "middle_name": "MI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138693",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNG",
            "last_name": "DE THOUARS",
            "middle_name": "MI",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennis Keith Kilgore, PH.D., L.C.S.W.
• Julie Anne Kilpatrick, MD
• Jackye Kim, DC
• Joseph S Kim, M.D.
• Juhan John Kim, DDS
• Sungjun Kim
• Suzanne Kim, PHARM D
• Julius K Kimani, PMHNP-BC
• Herbert A King II, MD
• Maria King, DPT

• Family Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.