1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAEHEE KIM
NPI 1356274906
Nurse Practitioner - Pediatrics in Fort Worth, TX

Active since June 04, 2026
9509 N BEACH ST STE 102, FORT WORTH, TX 76244(817) 617-8600 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jun 4, 2026 (2 updates tracked since 2026).

About Jaehee Kim NPPES

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

JAEHEE KIM (NPI 1356274906) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (1227530) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1356274906
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJAEHEE KIM
Location Address9509 N BEACH ST STE 102Fort Worth, TX 76244-6399
Mailing Address6967 Fallbrook Ct WFort Worth, TX 76120-1315 · (704) 526-6071
Phone(817) 617-8600
Sole ProprietorYes
Enumeration DateJune 4, 2026
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1356274906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 1227530
9509 N BEACH ST STE 102, Fort Worth, TX 76244
Open in Google Maps ↗

Other Names 1

Former Name (1)Jae Hee Park

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

HUNG LE M.D.
Internal Medicine
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
ALISA D CUPP APRN-CNP
Nurse Practitioner (Family)
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 396-7271
CONTINUUM PEDIATRICS PLLC
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
PRIYA RAMCHANDRA MD
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
SUVARNA KOLLURI M.D.
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
CYNTHIA GIOVANNETTI MD
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
DR. KRYSTYNA WESP D.O.
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaehee Kim's NPI number?

The NPI number for Jaehee Kim is 1356274906. It was assigned to this individual provider in the NPPES registry on June 4, 2026. The provider is also known as Jae Hee Park.

Where is Jaehee Kim located?

Jaehee Kim practices at 9509 N Beach St Ste 102, Fort Worth, TX 76244. The listed phone number is (817) 617-8600.

What is Jaehee Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jaehee Kim was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.