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JISU KIM
NPI 1700505146
Student in an Organized Health Care Education/Training Program in Shaker Heights, OH

Active since August 26, 2022
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118(216) 320-8628 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jisu Kim NPPES

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

JISU KIM (NPI 1700505146) is an individual student in an organized health care education/training program in Shaker Heights, Ohio and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1700505146
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJISU KIM
Location Address22001 FAIRMOUNT BLVDShaker Heights, OH 44118-4819
Mailing Address22001 Fairmount BlvdShaker Heights, OH 44118-4819
Phone(216) 320-8628
Sole ProprietorNo
Enumeration DateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
✔ NPI 1700505146 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.
22001 FAIRMOUNT BLVD, Shaker Heights, OH 44118
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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.

MRS. LAURA LEE MCCLURE R.N.
Registered Nurse
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Cuyahoga County (216) 320-8240
STEPHANIE SAVA LPCC-S
Counselor (Mental Health)
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Cuyahoga County (216) 932-2800
MRS. KERRY KATZ LISW-S
Social Worker (Clinical)
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Cuyahoga County (216) 320-8458
KAYLA GELB SWT
Social Worker
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Cuyahoga County (216) 932-2800
HANNAH CLASEN
Counselor
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Cuyahoga County (216) 932-2800
BENNETTA KAY BRADFORD
Case Manager/Care Coordinator
22001 FAIRMOUNT BLVD
SHAKER HTS, OH 44118
Cuyahoga County (216) 932-2800
KAYLA KADE
Counselor (Professional)
22001 FAIRMOUNT BLVD
CLEVELAND, OH 44118
Cuyahoga County (216) 932-2800
JOHN TYLER TAGGART QMHS
Case Manager/Care Coordinator
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118
Cuyahoga County (216) 932-2800

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 Jisu Kim's NPI number?

The NPI number for Jisu Kim is 1700505146. It was assigned to this individual provider in the NPPES registry on August 26, 2022.

Where is Jisu Kim located?

Jisu Kim practices at 22001 Fairmount Blvd, Shaker Heights, OH 44118. The listed phone number is (216) 320-8628.

What is Jisu Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Jisu Kim was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.