Kyunghee Seo, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

60676989 Issued in WA

Practice address

3520 96TH St S Ste 109
Lakewood, WA 98499-9251

Phone

(801) 602-2645

NPI assigned

Jan 27, 2015

Last updated

Sep 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, TX, WA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyunghee.seo.1@33459.direct.athenahealth.com

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

• Wellbeing Medical Clinic PLLC

  • Primary Care Nurse Practitioner
  • Lakewood, WA
  • NPI 1407715949
  Medicare reassignment NPD Authorized official
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner, UT

  Medicare reassignment NPD
• State of Utah

  dba Utah State Hospital

  • Psychiatric Hospital
  • Provo, UT
  • NPI 1811978620
  Medicare reassignment NPD
• Wind River Family & Community Healthc Care

  • Federal Public Health Clinic/Center
  • Arapahoe, WY
  • NPI 1285006379

  TX

  Medicare reassignment NPD
• Wellbeing Medical Clinic PLLC

  • Multi-Specialty Clinic/Center
  • Lakewood, WA
  • NPI 1730040767
  NPD Authorized official
• Kyunghee Seo K Mental Health Clinic

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1750928214
  Authorized official Same address or phone
• Utah State Developmental Center

  • Mental Illness Intermediate Care Facility
  • American Fork, UT
  • NPI 1689674301
  NPD

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1073903100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 96TH ST S STE 109",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984999251",
            "telephone_number": "253-267-1202",
            "fax_number": "253-267-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 96TH ST S STE 109",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984999251",
            "telephone_number": "801-602-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "KYUNGHEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5797157-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60676989",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60676989",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "60676989",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60676989",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60676989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Sekeramayi, MD
• Kae Sekimoto, RN
• Mellissa Anne Selander, LMP
• Rushelle Selga
• Senior Housing Investors II, LLC (Maple Creek of Lakewood)
• Seoul Chinese Herbs Inc (Seoul Acupuncture and Herbal Center)
• Seoul Chinese Herbs, Inc. (Seoul Acupuncture)
• Serenity Health & Supported Living
• Isha Sesay
• Katie Sessing

• Primary Care Nurse Practitioner in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Primary Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.