Active NPI
Sophia Yeong Liu, MD
- Emergency Medicine Physician
- Tacoma, WA
National Provider Identifier
1235585795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD61278021
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-5095 - Phone
- (253) 968-2252
- NPI assigned
- May 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01079939A | IN | |
| Emergency Medicine Physician | 207P00000X | MD61278021 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-5095
Mailing address
606 Meadowwood Dr SW
Olympia, WA 98502-2677
Phone (949) 217-9581
Other practice location 1
36000 Darnall Loop
Attn: McXi-Dem
Fort Hood, TX 76544-5095
Phone (254) 553-4614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079939A | IN | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1235585795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 MEADOWWOOD DR SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985022677",
"telephone_number": "949-217-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984315095",
"telephone_number": "253-968-2252"
}
],
"practiceLocations": [
{
"address_1": "36000 Darnall Loop",
"address_2": "ATTN: MCXI-DEM",
"address_purpose": "LOCATION",
"city": "Fort Hood",
"state": "TX",
"postal_code": "765445095",
"country_code": "US",
"telephone_number": "254-553-4614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "SOPHIA",
"middle_name": "YEONG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2024-03-14",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01079939A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD61278021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.