DR. STEPHANIE SOO-JOONG KIM MD
NPI 1790534576
Student in an Organized Health Care Education/Training Program in Nashville, TN
About Dr. Stephanie Soo-joong Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHANIE SOO-JOONG KIM MD (NPI 1790534576) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Stephanie Soo-joong Kim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
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 Stephanie Kim's NPI number?
The NPI number for Stephanie Kim is 1790534576. It was assigned to this individual provider in the NPPES registry on May 15, 2024.
Where is Stephanie Kim located?
Stephanie Kim practices at 1215 21st Ave S, Nashville, TN 37232. The listed phone number is (615) 322-6180.
What is Stephanie Kim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Stephanie Kim enrolled in Medicare?
Yes. Stephanie Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stephanie Kim was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Stephanie Soo-Joong Kim, MD · NPI 1790534576
Student in an Organized Health Care Education/Training Program provider in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since May 15, 2024.
## Identity
- **NPI:** 1790534576 (Entity type: Individual)
- **Enumerated:** May 15, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 21ST AVE S, Nashville, TN 37232-8605
- **Phone:** (615) 322-6180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790534576) · Data from the CMS NPPES public registry.