Active NPI
Ju Hyung Kim
- Athletic Trainer
- Vancouver, WA
National Provider Identifier
1851237754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 10264150
- Practice address
- 2000 E Mill Plain Blvd Apt 122
Vancouver, WA 98661-4100 - Phone
- (314) 591-2033
- NPI assigned
- Apr 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATHL.A1.60944716 | WA | |
| Athletic Trainer | 2255A2300X | 10264150 | OR | Primary |
Addresses
Primary practice location
2000 E Mill Plain Blvd Apt 122
Vancouver, WA 98661-4100
Mailing address
2000 E Mill Plain Blvd Apt 122
Vancouver, WA 98661-4100
Phone (314) 591-2033
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10264150 | OR | MD | Athletic Trainer |
| ATHL.A1.60944716 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1851237754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 E MILL PLAIN BLVD APT 122",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614100",
"telephone_number": "314-591-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E MILL PLAIN BLVD APT 122",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614100",
"telephone_number": "314-591-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JU HYUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "ATHL.A1.60944716",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "10264150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.