Active NPI
Catherine Miyeon Kim, APRN, FNP-C
- Family Nurse Practitioner
- Plano, TX
National Provider Identifier
1962110759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1111959
- Practice address
- 910 W Parker Rd Ste 102
Plano, TX 75075-2358 - Phone
- (972) 972-8930
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1111959 | TX | Primary |
Addresses
Primary practice location
910 W Parker Rd Ste 102
Plano, TX 75075-2358
Mailing address
910 W Parker Rd Ste 102
Plano, TX 75075-2358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111959 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- catherine.kim.1@33469.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693612800000",
"number": "1962110759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 W PARKER RD STE 102",
"city": "PLANO",
"state": "TX",
"postal_code": "750752358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W PARKER RD STE 102",
"city": "PLANO",
"state": "TX",
"postal_code": "750752358",
"telephone_number": "972-972-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CATHERINE",
"middle_name": "MIYEON",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-10",
"last_updated": "2023-09-02",
"certification_date": "2023-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1111959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.