Active NPI
Jennifer Peea Kim, MS, LAC
- Acupuncturist
- Berkeley, CA
National Provider Identifier
1982837480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 12324
- Practice address
- 3030 Ashby Ave
Suite 115
Berkeley, CA 94705-2453 - Phone
- (510) 318-2054
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 12324 | CA | Primary |
Addresses
Primary practice location
3030 Ashby Ave
Suite 115
Berkeley, CA 94705-2453
Mailing address
3030 Ashby Ave
Suite 115
Berkeley, CA 94705-2453
Phone (510) 318-2054
Other names 1
- J Peea Kim-Hassel
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12324 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1982837480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 ASHBY AVE",
"address_2": "SUITE 115",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052453",
"telephone_number": "510-318-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 ASHBY AVE",
"address_2": "SUITE 115",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052453",
"telephone_number": "510-318-2054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JENNIFER",
"middle_name": "PEEA",
"credential": "MS, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "12324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "KIM-HASSEL",
"middle_name": "PEEA",
"credential": "MS, LAC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.