Lulu Hong

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61163333 Issued in WA

Practice address

2913 5TH Ave NE Ste 101
Puyallup, WA 98372-6748

Phone

(855) 255-1750

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• United Wound Healing Accountable Care Consultants PLLC

  • Surgery Physician
  • Puyallup, WA
  • NPI 1881337632

  Physician Assistant

  NPD
• Pacific NW Fertility and Ivf Specialists. I. PLLC

  • Reproductive Endocrinology Physician
  • Seattle, WA
  • NPI 1518910124
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1376195628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 5TH AVE NE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726748",
            "telephone_number": "855-255-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 5TH AVE NE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726748",
            "telephone_number": "855-255-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7095 Clyo Rd",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594816",
            "country_code": "US",
            "telephone_number": "937-458-5084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E 900 S Unit 25",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847905526",
            "country_code": "US",
            "telephone_number": "502-541-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "LULU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006610",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61163333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica H Holston
• Teresa Ann Holt-Schaad
• Kylie Holt
• Madhurima Home, MD
• Honey Behavioral Therapy, PLLC
• Shawna Hood, ARNP
• Beth A Hooper, LMP
• Susan Kay Hoornbeek, MA, CCC-SLP
• Bradley Allen Hoover
• Cody M Hoover, DPM

• Physician Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.