Active NPI
Samuel Kwon, ARNP
- Family Nurse Practitioner
- Renton, WA
National Provider Identifier
1184537540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP.AP.70183662-NP
- Practice address
- 604 Oakesdale Ave SW
Renton, WA 98057-5204 - Phone
- (206) 450-2532
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP.AP.70183662-NP | WA | Primary |
Addresses
Primary practice location
604 Oakesdale Ave SW
Renton, WA 98057-5204
Mailing address
6026 55TH St W
University Place, WA 98467-2941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1184537540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6026 55TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984672941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 OAKESDALE AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980575204",
"telephone_number": "206-450-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "SAMUEL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "ARNP.AP.70183662-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.