YOOJEONG KIM EDDY NP NPI 1306475033

NPI Information

  • NPI: 1306475033
  • Provider Name: YOOJEONG KIM EDDY, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9160 MADISON AVE APT 43
    FAIR OAKS, CA
    ZIP 95628
  • Phone: (916) 597-2626

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NPI Details

Yoojeong Kim Eddy, NP is a family nurse practitioner in Fair Oaks, CA. Yoojeong Kim Eddy, NP NPI is 1306475033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9160 MADISON AVE APT 43
FAIR OAKS, CA
ZIP 95628-717
Phone: (916) 597-2626

The NPI 1306475033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2020 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP95011826CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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