Kimberly Wing-Wah Chu, DNP, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP60327734 Issued in WA

Practice address

15214 Canyon Rd E
Puyallup, WA 98375-7472

Phone

(253) 539-4200

NPI assigned

Nov 30, 2012

Last updated

Jun 14, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kimberly.chu.1@19661.direct.athenahealth.com

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1285979351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 MARKET ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15214 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983757472",
            "telephone_number": "253-539-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "KIMBERLY",
        "middle_name": "WING-WAH",
        "name_prefix": "Ms.",
        "credential": "DNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60327734",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60090396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Beth Christiansen
• Danielle Christianson, MA INTERN
• Martha Pauline Christie, PHARM.D
• Christopher R. Madsen DDS, PLLC (Madsen Dentistry)
• Charles R Chu, DPM
• Lichun Chu, DDS
• Ching Ju Chuang, D.M.D.
• Dennis Yi-Lun Chuang, M.D., PH.D.
• Hee-Kyung Chun, LSWAIC
• Chia J. Chung, MD

• Primary Care Nurse Practitioner in Puyallup, WA
• Providers in Puyallup, 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 Jun 14, 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.