Young-Lan Kim

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001135663 Issued in VA

Practice address

9735 Main St Ste 200
Fairfax, VA 22031-3775

Phone

(703) 865-7370

NPI assigned

Dec 6, 2017

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

State licenses

Practice roles

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.

• Grace Home Healthcare, LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1073904009
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1922513472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 MAIN ST STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 MAIN ST STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313775",
            "telephone_number": "703-865-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG-LAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001135663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suk Young Kim
• Theodore Tae-Hun Kim, M.D.
• Wooni F Kim, PMHNP
• Yei Jin Kim
• Yonwook Justin Kim, MD
• Yung Kim, LCSW
• William Harrison Kimbrough, M.D.
• Howard M Kimes, MD
• Kind Minds ABA LLC
• Kinder Care Homehealth Care LLC

• Registered Nurse in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.