Jiwon Kim, O.M.D

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2484 Issued in FL

Practice address

5006 Tamiami TRL N
Naples, FL 34103-2801

Phone

(239) 304-2000

NPI assigned

Dec 26, 2007

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

• Jesse Kim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1811171960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032801",
            "telephone_number": "239-961-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032801",
            "telephone_number": "239-304-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIWON",
        "name_prefix": "Dr.",
        "credential": "O.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "KIM",
            "credential": "O.M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paul Omer Kiefer, CRNA
• Janet Kielce, P.T.A.
• Julie Ann Kierstein, OTR
• Akshat Kikani
• Charles Kilo, MD
• Kiveum Kim
• Min Chung Kim, MD
• Michelle Kimel
• Scott Christopher Kimmerly, DPT
• Susan Ruth Kimper, PMHNP-BC

• Acupuncturist in Naples, FL
• Providers in Naples, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.