Individual provider Active NPI

Hong-Nhung Thi DO, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1003309683
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60865047 Issued in WA
Practice address
5316 Rainier Ave S
Seattle, WA 98118-2354
Phone
(206) 721-5600
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60865047 WA Primary

Addresses

Primary practice location

5316 Rainier Ave S
Seattle, WA 98118-2354

Mailing address

5316 Rainier Ave S
Seattle, WA 98118-2354
Phone (206) 721-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926003060 WA Practitioner - Nurse Practitioner 2365793502 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phandinh Clinic LLCGroup PAC ID 0749600351, 2 clinicians
Valley Cities Counseling and ConsultationGroup PAC ID 6406842053, 53 clinicians

Practice addresses (Care Compare)

330 SW 43Rd St
Suite L
Renton, WA 98057-4900
Phone (425) 324-4745

505 Washington Ave S
Kent, WA 98032-5709
Phone (253) 833-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60865047WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvenation Medical PLLC CurrentSince Sep 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 13, 2018 Accepting new patients
Phandinh Clinic LLC CurrentSince Sep 2, 2020 Accepting new patients
Valley Cities Counseling and Consultation CurrentSince Mar 8, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 13, 2018 Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

2222 Meridian Ave E
Ste A
Edgewood, WA 98371
Phone (206) 407-4171

325 W Gowe St
Kent, WA 98032

505 Washington Ave S
Kent, WA 98032
Phone (253) 652-7294

330 SW 43rd St
Renton, WA 98057
Phone (425) 251-9900

330 SW 43rd St
Ste L
Renton, WA 98057
Phone (253) 981-4450

1701 18th Ave S
Seattle, WA 98144
Phone (206) 731-7210

1420 5th Ave
Ste 375
Seattle, WA 98101
Phone (206) 223-2611

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545

5316 Rainier Ave S
Seattle, WA 98118
Phone (206) 326-3585

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

12844 Military Rd S
Tukwila, WA 98168
Phone (206) 244-0180

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1003309683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182354",
            "telephone_number": "206-721-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182354",
            "telephone_number": "206-721-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "HONG-NHUNG",
        "middle_name": "THI",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60865047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5316 Rainier Ave S",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981182354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.