Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sunghoon Kim, NP

Individual provider Family Nurse Practitioner · NPI 1114682481

Sunghoon Kim, NP is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2021, 5 years ago. Practices with Greater Phoenix Collaborative Care PC, a 111-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2001 N 4th St
Flagstaff, AZ 86004-4227
Phone: (928) 527-4325
Fax: (928) 527-4327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 S Yale St, Flagstaff, AZ 86001-7304 — (928) 527-4325

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 266207 (AZ)

Record details

NPI number1114682481
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Greater Phoenix Collaborative Care Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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