Individual provider Active NPI

Sungeun Kim, FNP-BC

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1881425171
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4025100 Issued in KY
Practice address
3101 Richmond Rd
Lexington, KY 40509-1599
Phone
(859) 269-2273
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4025100 KY
Family Nurse Practitioner 363LF0000X 4025100 KY Primary

Addresses

Primary practice location

3101 Richmond Rd
Lexington, KY 40509-1599

Mailing address

2352 Jessamine Station Rd
Wilmore, KY 40390-9038
Phone (423) 750-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20241028000792 KY Practitioner - Nurse Practitioner 8325571565 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Urgent Care PLLCGroup PAC ID 9830344688, 29 clinicians

Practice addresses (Care Compare)

3101 Richmond Rd
Suite 202
Lexington, KY 40509-1525
Phone (859) 523-5310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Man O War Urgent Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Lexington Urgent Care PLLC CurrentSince Oct 1, 2024 Accepting new patients
Berea Urgent Care LLC CurrentSince Oct 1, 2024 Accepting new patients
Georgetown Urgent Care PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302

111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956

844 S College St
Harrodsburg, KY 40330
Phone (859) 734-0081

1004 Bypass N
Ste D
Lawrenceburg, KY 40342
Phone (502) 353-4220

3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866

4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273

1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956

1701 Nicholasville Rd
Lexington, KY 40503
Phone (859) 278-9373

3101 Richmond Rd
Ste 202
Lexington, KY 40509
Phone (606) 266-2223

432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1881425171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 JESSAMINE STATION RD",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403909038",
            "telephone_number": "423-750-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 RICHMOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091599",
            "telephone_number": "859-269-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNGEUN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "4025100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4025100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.