JEONG J KIM (FNP) – Family Nurse Practitioner, NPI 1184652026

JEONG J KIM (FNP) is a healthcare provider. based in Joint base lewis mcchord, Washington. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. AP30007330 (WA). The NPI Number for JEONG J KIM (FNP) is 1184652026

Main info

Female
Name
JEONG J KIM (FNP)
NPI
1184652026
Phone
(253) 459-6065
Address
690 BARNES BLVD
Enumeration Date
29 June 2006
Last Update Date
21 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JEONG J KIM (FNP)

  • 690 BARNES BLVD

    JOINT BASE LEWIS MCCHORD, WA 984381303

    Phone: (253) 459-6065

    Type: Mailing

  • 1 JARRETT WHITE RD

    TRIPLER ARMY MEDICAL CENTER, HI 968595001

    Phone: (253) 433-5420

    Type: Location

  • 9332 Bridgeport Way SW

    Lakewood, WA 984991569

    Phone: (253) 459-6065

    Type: Location

  • 9332, Bridgeport Way Southwest, Lakewood Plaza Apartments, Custer, Lakewood, Pierce County, Washington, 98499, United States

    LAKEWOOD, WA 984991569

    Phone: (253) 459-6065

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-11

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98438)

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Reviews

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Frequently asked questions

How do payers reference JEONG J KIM (FNP)?
For JEONG J KIM (FNP), use NPI 1184652026 as the unique 10-digit identifier.
Is JEONG J KIM (FNP) still an active registrant?
JEONG J KIM (FNP) carries an active NPI according to the public dataset.
What expertise is attributed to JEONG J KIM (FNP)?
JEONG J KIM (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JEONG J KIM (FNP)?
Directory geography for JEONG J KIM (FNP) centers on Joint Base Lewis Mcchord, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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