Bo la Kim, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12992 Issued in CT

Practice address

144 Morgan St Ste 8
Stamford, CT 06905-5433

Phone

(203) 353-1123

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bola.kim@xdr.hhchealthdirect.org

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.

• Hartford Healthcare Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Avon, CT
  • NPI 1093239683

  Single Specialty

  Medicare reassignment Care Compare group NPD
• All Ages Medical Care Inc

  • Pediatrics Physician
  • Stamford, CT
  • NPI 1497122626
  NPD (past)
• Evelyn V Casas MD

  dba Kids Choice Pediatrics

  • Pediatrics Physician
  • Stamford, CT
  • NPI 1144417627

  Family

  NPD (past)

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1912766726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PATTERSON RD",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182620",
            "telephone_number": "203-668-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MORGAN ST STE 8",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055433",
            "telephone_number": "203-353-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Patterson Rd",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065182620",
            "country_code": "US",
            "telephone_number": "203-668-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "BO LA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nami Khwakhali
• Bozena Joanna Kierski, DDS
• Anitha Kilari, M.D
• Andrew Killen, MD
• Jeffrey Kilstein
• Chang Soo Kim, M.D.
• CHI-Son Kim, MD
• DO Yoon Kim, D.D.S
• Jae Min Kim, APRN, PMHNP-C
• Jihyun Kim, PHARM.D., RPH

• Family Nurse Practitioner in Stamford, CT
• Providers in Stamford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.