Individual provider Active NPI

Ni NA Yu, FNP-C

  • Nurse Practitioner
  • Kent, WA
National Provider Identifier
1043007883
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61664698 Issued in WA
Practice address
10024 SE 240TH St Ste 201
Kent, WA 98031-5124
Phone
(253) 859-2273
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61664698 WA
Nurse Practitioner 363L00000X AP61664698 WA Primary

Addresses

Primary practice location

10024 SE 240TH St Ste 201
Kent, WA 98031-5124

Mailing address

18025 SE 272ND St Apt Q302
Covington, WA 98042-5629
Phone (269) 231-0388

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
I20250820005350 WA Practitioner - Nurse Practitioner 1951801364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiorenal Therapeutics of Washington, PLLCGroup PAC ID 7517379613, 5 clinicians

Practice addresses (Care Compare)

33530 1St Way S
Suite 44
Federal Way, WA 98003-7332
Phone (253) 414-6652

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61664698WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiorenal Therapeutics of Washington, PLLC CurrentSince Jun 30, 2025 Accepting new patients

Locations

33530 1st Way S
Ste 44
Federal Way, WA 98003
Phone (253) 300-8447

Organizations & group practices 1

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1043007883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18025 SE 272ND ST APT Q302",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425629",
            "telephone_number": "269-231-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SE 240TH ST STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315124",
            "telephone_number": "253-859-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "NI NA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61664698",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61664698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.