Quynh-Anh Phan, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG1215092 Issued in WA

Practice address

801 SW 150TH St Ste 230
Burien, WA 98166-1855

Phone

(206) 957-6036

NPI assigned

Mar 2, 2016

Last updated

Aug 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Inez Kathleen Ray-Annis, MSW, P.S., Inc.

  dba Annis Counseling & Evaluation Services

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1194003590
  NPD (past)
• Therapy Management Services, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bothell, WA
  • NPI 1811252729
  NPD (past)

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1255791414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SW 150TH ST STE 230",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SW 150TH ST STE 230",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661855",
            "telephone_number": "206-957-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "QUYNH-ANH",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AG1215092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Pham
• Shawn Lou Pham, DDS
• Thien-Kim Pham
• Lai Phuc Phan, PHARMD
• Nam Van Phan
• Dorothy Winkler Phelps, RN
• Lindsay Phillips
• Physiotherapy Associates Inc (Select Physical Therapy)
• Harry A Pierce III, DO
• Rebecca H Pierce, LPN

• Gerontology Nurse Practitioner in Burien, WA
• Providers in Burien, WA by specialty
• Gerontology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.