Individual provider Active NPI

Chantel Yuong

  • Gerontology Nurse Practitioner
  • University Place, WA
National Provider Identifier
1033591235
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60610992 Issued in WA
Practice address
2901 Bridgeport Way W
University Place, WA 98466-4614
Phone
(253) 534-7000
Fax
(253) 627-6576
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60610992 WA
Gerontology Nurse Practitioner 363LG0600X AP60610992 WA Primary

Addresses

Primary practice location

2901 Bridgeport Way W
University Place, WA 98466-4614

Mailing address

2901 Bridgeport Way W
University Place, WA 98466-4614
Phone (253) 534-7000

Other practice location 1

23745 225th Way SE
Ste 201B
Maple Valley, WA 98038-5294
Phone (888) 674-5871

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address franciscanpalliativecare@direct.hchb.com
Direct Messaging Address cyuong124828@fhsce.catholichealth.net Direct

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
I20160126001200 WA Practitioner - Nurse Practitioner 4880997899 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60610992WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Commonspirit Washington CurrentSince May 9, 2018 Accepting new patients
Franciscan Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Commonspirit Washington CurrentSince May 9, 2018 Accepting new patients
Commonspirit Washington Past Accepting new patients
Franciscan Health System Past Accepting new patients
Franciscan Health System Past Accepting new patients

Locations

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1717 S J St
Fl 6
Tacoma, WA 98405
Phone (253) 426-6618

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

2901 Bridgeport Way W
University Place, WA 98466
Phone (253) 534-7000

Networks

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

Interoperability endpoints

  • Direct secure messaging: cyuong124828@fhsce.catholichealth.net
  • Direct secure messaging: franciscanpalliativecare@direct.hchb.com

Organizations & group practices 8

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1033591235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000",
            "fax_number": "253-627-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000",
            "fax_number": "253-627-6576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23745 225th Way SE",
            "address_2": "Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980385294",
            "country_code": "US",
            "telephone_number": "888-674-5871",
            "fax_number": "206-694-2291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUONG",
        "first_name": "CHANTEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60610992",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60610992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "franciscanpalliativecare@direct.hchb.com",
            "affiliation": "N",
            "address_1": "2901 Bridgeport Way W",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984664614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cyuong124828@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2901 Bridgeport Way W",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984664614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.