JENNY KIM
NPI 1346868858
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is Jenny Kim's NPI number?

The NPI number for Jenny Kim is 1346868858. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Q: What is Jenny Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Kim was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2020PECOS Enrolled

5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390(214) 648-3111 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jenny Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY KIM (NPI 1346868858) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346868858

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNY KIM

Location Address5323 HARRY HINES BLVD STOP 7200Dallas, TX 75390-7200

Mailing Address3410 Mallard Pass LnKaty, TX 77494-1626 · (281) 520-2044

Phone(214) 648-3111

Sole ProprietorNo

Enumeration DateJuly 10, 2020

NPPES CertifiedJuly 10, 2020

✔ NPI 1346868858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5323 HARRY HINES BLVD STOP 7200, Dallas, TX 75390

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH KASSAB MD, MS

Student in an Organized Health Care Education/Training Program