Yun Mi Kim

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP020858 Issued in PA

Practice address

1001 Baltimore Pike Ste 9B
Springfield, PA 19064-2862

Phone

(267) 368-6953

NPI assigned

Aug 20, 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

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Vital Healthcare Solutions

  • Psychiatry Physician
  • Sinking Springs, PA
  • NPI 1659736957
  Medicare reassignment NPD
• West Cayuga Medicine PC

  dba West Cayuga Medical Center

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1811449697

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Quality of Mind LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1619657152
  NPD Authorized official

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1750938288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 W CAYUGA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402439",
            "telephone_number": "267-368-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BALTIMORE PIKE STE 9B",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642862",
            "telephone_number": "267-368-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 W Cayuga St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191402439",
            "country_code": "US",
            "telephone_number": "267-368-6953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "YUN MI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP020858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Keohane
• Keystone Care Therapies Inc
• Keystone Foot and Ankle Associates, PC
• Keystone Quality Transport Company
• Shagufta Kousar Khaliq
• Tana Marie Kirkpatrick, RN, IBCLC
• Stephanie Kitain, LCSW
• Melissa Marie Kleinz, LPC
• Paul Kolecki, M.D.
• Henry S Kollie Jr.

• Psychiatric/Mental Health Nurse Practitioner in Springfield, PA
• Providers in Springfield, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.