Jessica Kim Forge, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP139827 Issued in TX

Practice address

7705 San Jacinto PL Ste 100
Plano, TX 75024-3264

Phone

(972) 682-5700

NPI assigned

Nov 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jessica Kim Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499
  Medicare reassignment NPD
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1326667536
  NPD
• Vpa of Texas PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1578175865
  NPD
• Diabetes & Endocrinology Associates P a

  • Endocrinology, Diabetes & Metabolism Physician
  • Dallas, TX
  • NPI 1457861825
  NPD (past)
• Southern Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Mesquite, TX
  • NPI 1811096480
  NPD (past)

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1700355401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CLEARFIELD CIR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815423",
            "telephone_number": "214-701-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 SAN JACINTO PL STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243264",
            "telephone_number": "972-682-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5232 Forest Ln Ste 170",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752448053",
            "country_code": "US",
            "telephone_number": "214-964-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORGE",
        "first_name": "JESSICA",
        "middle_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KIM",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Dawn Foreman, PSYD
• Cristi Lee Foreman
• Forest Gate Hospice, Inc.
• Forest Path Counseling & Wellness Lisa Fulfor PLLC
• Forever Fit
• Tu Cam Bui Forkner
• Erin Brooks Forman, FNP-BC, FNP-C
• Formosa Anesthesia PLLC
• Parisa Foroutan, OD
• Parsha Forouzan, MD

• Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.

Verify at the official NPI Registry.