Lauren Kim, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2299719 Issued in MA

Practice address

31 Hall Dr
Amherst, MA 01002-2751

Phone

(413) 256-8561

Fax

(866) 644-0869

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1902494768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HALL DR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022751",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HALL DR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022751",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LAUREN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2299719",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "MCS004262B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laverne M Kelly
• Sandra L Kelly, LCSW
• Dawn C Kennedy, CLC
• Patricia Elizabeth Keough, ANP
• Marjan Khodadoust, DMD
• Yong Kim, DPT
• Deborah Ann King, LICSW
• Helen S King, LIC. AC.
• Nancy Kirschner Sachs, MSW
• Jonathan S Klate, PH.D., LIC. ACUP.

• Family Nurse Practitioner in Amherst, MA
• Providers in Amherst, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.