Individual provider Active NPI

Min Kim, ANP-BC

  • Family Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1992947303
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
317668 Issued in OH
Practice address
2525 Hilliard Rome Rd
Hilliard, OH 43026-9471
Phone
(614) 345-0195
Fax
(614) 345-0196
NPI assigned
Mar 31, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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 317668 OH Primary

Addresses

Primary practice location

2525 Hilliard Rome Rd
Hilliard, OH 43026-9471

Mailing address

8 Cadillac Dr
Ste. 250
Brentwood, TN 37027-5087
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090527000116 OH Practitioner - Nurse Practitioner 9739238551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of ColumbusGroup PAC ID 0446164156, 5 clinicians

Practice addresses (Care Compare)

240 Parsons Ave
Columbus, OH 43215-5331
Phone (614) 645-7958

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317668OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Columbus Current Accepting new patients
Kroger Co Past Accepting new patients

Locations

240 Parsons Ave
Columbus, OH 43215
Phone (614) 645-6792

Interoperability endpoints

  • Direct secure messaging: min.kimcnp.p17@direct.columbuspublichealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1992947303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR",
            "address_2": "STE. 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275087",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HILLIARD ROME RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269471",
            "telephone_number": "614-345-0195",
            "fax_number": "614-345-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIN",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "317668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.