Active NPI
Jin J Kim
- Speech-Language Pathologist
- Lewes, DE
National Provider Identifier
1801378286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 17028 Cadbury Cir
Lewes, DE 19958-7022 - Phone
- (302) 644-6370
- NPI assigned
- Sep 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
17028 Cadbury Cir
Lewes, DE 19958-7022
Mailing address
36791 Crooked Hammock Way Unit 2302
Lewes, DE 19958-4887
Other practice location 1
36101 Seaside Blvd
Rehoboth Beach, DE 19971-6165
Phone (302) 226-8750
Other names 1
- Jane Kim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535932800000",
"number": "1801378286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36791 CROOKED HAMMOCK WAY UNIT 2302",
"city": "LEWES",
"state": "DE",
"postal_code": "199584887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17028 CADBURY CIR",
"city": "LEWES",
"state": "DE",
"postal_code": "199587022",
"telephone_number": "302-644-6370"
}
],
"practiceLocations": [
{
"address_1": "36101 Seaside Blvd",
"address_purpose": "LOCATION",
"city": "Rehoboth Beach",
"state": "DE",
"postal_code": "199716165",
"country_code": "US",
"telephone_number": "302-226-8750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JIN",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-03",
"last_updated": "2018-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "KIM",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.