Kim Lung, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

673709 Issued in NY

Practice address

7550 S State St
Lowville, NY 13367-1533

Phone

(315) 376-5450

Fax

(315) 376-7221

NPI assigned

Jan 28, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1851781918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 S STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671533",
            "telephone_number": "315-376-5450",
            "fax_number": "315-376-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 S STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671533",
            "telephone_number": "315-376-5450",
            "fax_number": "315-376-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "KIM",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "673709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis County Search and Rescue Inc
• Liberty RC Inc (Lowville Dialysis Center)
• Jennifer Leigh Lovenduski, RPH
• Lowville Central School District
• Lowville Medical Associates LLP
• Lois Lyndaker, RN
• Steven L Lyndaker, MD
• M Lynn Pisaniello, MD
• Malcolm R. Parks (The Medicine Shoppe)
• Dyana Manning, PA

• Psychiatric/Mental Health Registered Nurse in Lowville, NY
• Providers in Lowville, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.