Individual provider Active NPI

Sojin Kim, NP

  • Family Nurse Practitioner
  • Sunnyvale, TX
National Provider Identifier
1982138608
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133590 Issued in TX
Practice address
341 Wheatfield Dr Ste 100
Sunnyvale, TX 75182-4639
Phone
(972) 285-0221
Fax
(972) 285-0223
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP133590 TX Primary

Addresses

Primary practice location

341 Wheatfield Dr Ste 100
Sunnyvale, TX 75182-4639

Mailing address

341 Wheatfield Dr Ste 100
Sunnyvale, TX 75182-4639
Phone (972) 285-0221

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
I20190131001115 TX Practitioner - Nurse Practitioner 4880961754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

1540 W Interstate 20
Wellmed at Arlington Park
Arlington, TX 76017-5838
Phone (817) 472-6555

420 N Hwy 67
Suite D1 Wellmed at Cedar Hill
Cedar Hill, TX 75104-6069
Phone (972) 291-7181

4401 Park Springs Blvd
Suite 100
Arlington, TX 76017-1899
Phone (817) 807-9060

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

7501 Lakeview Pkwy
Suite 130
Rowlett, TX 75088-9324
Phone (972) 463-3100

7640 NE Loop 820
100 Wellmed at North Richland Hills
North Richland Hills, TX 76180-8340
Phone (817) 284-8222

7708 Lake June Rd
Wellmed at Lake June
Dallas, TX 75217-1650
Phone (214) 398-8801

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

819 W Arapaho Rd
Suite 14
Richardson, TX 75080-5041
Phone (214) 345-9999

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133590TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Mar 19, 2021 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Dec 3, 2018 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients
Medical Clinic of North Texas, PLLC CurrentSince Mar 19, 2021 Accepting new patients
Medical Clinic of North Texas, PLLC Current Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Dec 3, 2018 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

2858 N Belt Line Rd
Ste 600
Sunnyvale, TX 75182
Phone (214) 225-0209

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sojin.kim@wellmed.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1982138608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824639",
            "telephone_number": "972-285-0221",
            "fax_number": "972-285-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824639",
            "telephone_number": "972-285-0221",
            "fax_number": "972-285-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOJIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.