Individual provider Active NPI

Mee Ok Kim, D.C., FNP-C

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1912176595
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
793688 Issued in TX
Practice address
4112 Legacy Dr
Suite 326
Frisco, TX 75034-0810
Phone
(214) 872-1232
NPI assigned
Feb 27, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 793688 TX Primary
Chiropractor 111N00000X 8960 TX

Addresses

Primary practice location

4112 Legacy Dr
Suite 326
Frisco, TX 75034-0810

Mailing address

3812 Drexel Dr
Denton, TX 76210-7703
Phone (940) 594-5851

Other identifiers 1

IdentifierTypeStateIssuer
606374OtherTXBLUE CROSS/ BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131212000257 TX Practitioner - Nurse Practitioner 9032346333 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8960TXMDClinical Social Worker
793688TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Carrollton PLLC CurrentSince Mar 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 20, 2015 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Nov 13, 2013 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 20, 2015 Accepting new patients
Century Integrated Partners, Inc CurrentSince Nov 1, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3500 Gaston Ave
Dallas, TX 75246

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912176595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 DREXEL DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107703",
            "telephone_number": "940-594-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 LEGACY DR",
            "address_2": "SUITE 326",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340810",
            "telephone_number": "214-872-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MEE OK",
        "name_prefix": "Dr.",
        "credential": "D.C., FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "793688",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8960",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "606374",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.