Individual provider Active NPI

Kumhee A Ro, ARNP

  • Adult Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1093740565
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP30005624 Issued in WA
Practice address
3815 S Othello St FL 2
Seattle, WA 98118-3510
Phone
(206) 788-3500
Fax
(206) 962-3298
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP30005624 WA Primary
Registered Nurse 163W00000X RN00117834 WA

Addresses

Primary practice location

3815 S Othello St FL 2
Seattle, WA 98118-3510

Mailing address

505 S 336TH Street
Suite 600
Federal Way, WA 98003-6328
Phone (253) 838-6180

Other identifiers 5

IdentifierTypeStateIssuer
0206761OtherWALABOR & INDUSTRY
21548UOtherWAREGENCE BLUESHIELD
0222334OtherWALIWA
1063ROOtherWABSWA
9628843MedicaidWA

Other names 1

  • Kum Hee Ro Other name

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
I20060314000160 WA Practitioner - Nurse Practitioner 8325055544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Community Health ServicesGroup PAC ID 5799695672, 95 clinicians

Practice addresses (Care Compare)

1050 140TH Ave NE
Bellevue, WA 98005-2972
Phone (425) 373-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00117834WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Apr 22, 2013 Accepting new patients
University of Washington Current Accepting new patients
University of Washington CurrentSince Oct 1, 2005 Accepting new patients
University of Washington CurrentSince Oct 1, 2005 Accepting new patients
International Community Health Services CurrentSince Aug 12, 2024 Accepting new patients
International Community Health Services CurrentSince Aug 12, 2024 Accepting new patients
Neighborcare Health CurrentSince Apr 22, 2013 Accepting new patients
International Community Health Services Current Accepting new patients
Neighborcare Health Current Accepting new patients
Northwest Physician Associates PC Past Accepting new patients
Northwest Physician Associates, Apc Past Accepting new patients
Northwest Hospital Medicine Physicians LLC Past Accepting new patients

Locations

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

Organizations & group practices 12

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1093740565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 336TH STREET",
            "address_2": "SUITE 600",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036328",
            "telephone_number": "253-838-6180",
            "fax_number": "253-838-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S OTHELLO ST FL 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183510",
            "telephone_number": "206-788-3500",
            "fax_number": "206-962-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "KUMHEE",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30005624",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00117834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "0206761",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "21548U",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0222334",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "1063RO",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9628843",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KUM",
            "last_name": "RO",
            "middle_name": "HEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.