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Export Provider Record NPI 1093220428
Vannary KhimMS, RN, FNP-C
Active
NPI Number1093220428
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1093220428
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-12-07
Last Updated2017-12-07
Mailing Address27 Emery St
Lowell, MA 01851-4613
United States
Phone: (617) 406-9770
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Primary Practice Address330 Baker Ave
Concord, MA 01742-2129
United States
Phone: (978) 287-9300
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyMA283609
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About NPI 1093220428

Vannary Khim MS, RN, FNP-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093220428. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Concord, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-12-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093220428?

NPI 1093220428 belongs to Vannary Khim MS, RN, FNP-C, a Nurse Practitioner, Family in Concord, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093220428 active?

The current status of NPI 1093220428 in the NPPES registry is Active. The record was last updated on 2017-12-07.

What specialty is NPI 1093220428?

NPI 1093220428 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1093220428?

You can verify NPI 1093220428 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1093220428?

The primary practice address on file for NPI 1093220428 is 330 Baker Ave, Concord, MA 01742-2129. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093220428 issued?

NPI 1093220428 was first issued (enumerated) on 2017-12-07. The NPPES record was last updated on 2017-12-07.

Practice Location Map

Vannary Khim is located at 330 Baker Ave, Concord, MA. Use the map below to find directions or verify the practice location.

📍 330 Baker Ave, Concord, MA 01742-2129  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Vannary Khim. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1093220428. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Family283609MA
Data Verified from CMS NPPES Last synced: 2026-06-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162