Active NPI
Nancy Carol Kim, MD
- Pediatrics Physician
- Arlington, VA
National Provider Identifier
1699873307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 156444
- Practice address
- 1635 N George Mason Dr Ste 185
Arlington, VA 22205-3633 - Phone
- (703) 522-7300
- Fax
- (703) 522-0495
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101053952 | VA | |
| Pediatrics Physician | 208000000X | 156444 | FL | Primary |
Addresses
Primary practice location
1635 N George Mason Dr Ste 185
Arlington, VA 22205-3633
Mailing address
1635 N George Mason Dr Ste 185
Arlington, VA 22205-3633
Phone (703) 522-7300
Other practice location 1
1715 North George Mason Dr
#205
Arlington, VA 22205
Phone (703) 522-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156444 | FL | MD | Pediatrics Physician |
| 0101053952 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerplace Health, Inc | Current | Accepting new patients | |
| Pediatrics of Arlington, PLC | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1750 17th St
Ste E
Sarasota, FL 34234
Phone (941) 529-0200
1750 17th St
Ste N
Sarasota, FL 34234
Phone (941) 529-0200
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.
-
- Federally Qualified Health Center (FQHC)
- Sarasota, FL
- NPI 1104316272
-
- Pediatrics Physician
- Arlington, VA
- NPI 1366572547
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1699873307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 N GEORGE MASON DR STE 185",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053633",
"telephone_number": "703-522-7300",
"fax_number": "703-522-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 N GEORGE MASON DR STE 185",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222053633",
"telephone_number": "703-522-7300",
"fax_number": "703-522-0495"
}
],
"practiceLocations": [
{
"address_1": "1715 North George Mason Dr",
"address_2": "#205",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "22205",
"country_code": "US",
"telephone_number": "703-522-7300",
"fax_number": "703-522-0495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "NANCY",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101053952",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "156444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.